MRS. Shantel Nicole Sullivan, LMSW

NPI #1104166644 in Potsdam, New York

Provider Information

NPI Number: 1104166644
Entity Type: Individual
Name: MRS. Shantel Nicole Sullivan, LMSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Feb 20, 2013
Last Updated: Feb 20, 2013

Practice Location

Address: 50 LEROY ST
City: Potsdam
State: New York
ZIP Code: 13676-1786
Phone: (315) 261-5411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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