MS. Mary M Sullivan, LCSW

NPI #1174551030 in Cos Cob, Connecticut

Provider Information

NPI Number: 1174551030
Entity Type: Individual
Name: MS. Mary M Sullivan, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Jun 29, 2006
Last Updated: Jun 6, 2011

Practice Location

Address: 132 E PUTNAM AVE
Address 2: SUITE H
City: Cos Cob
State: Connecticut
ZIP Code: 06807-2744
Phone: (203) 962-2209

Specialties & Taxonomy Codes

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

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