MS. Mary Elizabeth Sullivan, LISCW

NPI #1144572546 in Needham, Massachusetts

Provider Information

NPI Number: 1144572546
Entity Type: Individual
Name: MS. Mary Elizabeth Sullivan, LISCW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LISCW
Enumeration Date: Oct 9, 2012
Last Updated: Oct 9, 2012

Practice Location

Address: 123 GARDEN ST
City: Needham
State: Massachusetts
ZIP Code: 02492-2029
Phone: (781) 844-5037

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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