MR. Charles Sullivan, MSW, LICSW
NPI #1114093259 in Medford, Massachusetts
Provider Information
- NPI Number
- 1114093259
- Entity Type
- Individual
- Name
- MR. Charles Sullivan, MSW, LICSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- MSW, LICSW
- Enumeration Date
- Nov 28, 2006
- Last Updated
- Jan 4, 2010
Practice Location
- Address
- 10 HIGH ST STE 10
- City
- Medford
- State
- Massachusetts
- ZIP Code
- 02155-3848
- Phone
- (781) 395-1560
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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