ALEXANDER BLAKE SULLIVAN

ROSEVILLE, MN
NPI1922622042
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MN  30850)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: NV  11498-C)
1041C0700X Social Worker, Clinical
(Licence: FL  SW16639)
1041C0700X Social Worker, Clinical
(Licence: UT  13344228-3501)
1041C0700X Social Worker, Clinical
(Licence: NE  3594)
1041C0700X Social Worker, Clinical
(Licence: CO  CSW.09929192)
1041C0700X Social Worker, Clinical
(Licence: WA  LW61539336)
1041C0700X Social Worker, Clinical
(Licence: AZ  21854)
Enumeration Date2020-06-04
Last Update Date2024-10-23
Business Address
ALEXANDER BLAKE SULLIVAN LCSW, LICSW, LIMHP
2786 FAIRVIEW AVE N STE 38
ROSEVILLE, MN 55113-1306
Phone number: 763-412-1993
Mailing Address
ALEXANDER BLAKE SULLIVAN LCSW, LICSW, LIMHP
4905 31ST AVE S
MINNEAPOLIS, MN 55417-1403
Phone number: 352-551-4375