Richard Michael Sullivan, LCSW-R

NPI #1023127651 in Newburgh, New York

Provider Information

NPI Number: 1023127651
Entity Type: Individual
Name: Richard Michael Sullivan, LCSW-R
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW-R
Enumeration Date: Aug 29, 2006
Last Updated: Jan 24, 2019

Practice Location

Address: 410 GIDNEY AVE STOP 3
City: Newburgh
State: New York
ZIP Code: 12550-3764
Phone: (845) 542-4416

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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