Ellen Maura Sullivan, LICSW

NPI #1164991204 in Hingham, Massachusetts

Provider Information

NPI Number: 1164991204
Entity Type: Individual
Name: Ellen Maura Sullivan, LICSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - School
Credential: LICSW
Enumeration Date: Nov 19, 2018
Last Updated: Nov 19, 2018

Practice Location

Address: 39 STAGECOACH RD
City: Hingham
State: Massachusetts
ZIP Code: 02043-4837
Phone: (617) 347-1957

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - School — School	101YS0200X	Primary

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