KELLY SULLIVAN

MILWAUKIE, OR
NPI1457645434
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  L4631)
Enumeration Date2011-06-07
Last Update Date2017-01-30
Business Address
-- KELLY SULLIVAN MSW, LCSW
10883 SE MAIN ST STE. 204
MILWAUKIE, OR 97222-7641
Phone number: 503-381-2422
Mailing Address
-- KELLY SULLIVAN MSW, LCSW
PO BOX 220203
PORTLAND, OR 97269-0203
Phone number: 503-381-2422
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