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Dian Sullivan, LCSW
NPI 1720044084 · on the registry since 2006
Practice
- Address
- 800 Broadway
Suite 315
Fort Wayne, IN 46802 - Phone
- (260) 489-6030
- Fax
- (260) 489-5536
- Organisation at this address
- Orl Pc
Shashi K Ahuja M.D.
Psychiatric Services P C
Beryl L Randolph,M.D., P.C.
Fort Wayne Orthopaedics, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 19
Registry record
- Primary taxonomy
- Social Worker
104100000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-03-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana