Female

Beverly K. Sullivan L.S.W.

Clinical Social Worker in Beaver, PA(View on Map)

Full Name

Beverly K Sullivan L.S.W.

NPI Number

1871604884

NPI Type

Individual Provider

Gender

Female

Enumeration Date

08/31/2006

Specialties

(Taxonomies)

Code

1041C0700X

Primary Taxonomy

Yes

Licenses

State

Pennsylvania

License Number

SW004925E

Contact
Information

Purpose

Mailing
Location

Address

1840 TUSCARAWAS RD
337 3RD ST

City

Beaver
Beaver

State

PA
PA

Postal Code

15009-1148
15009-2302

Country

US
US

Telephone Number

(724) 728-3288
(724) 728-6670

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address

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