MR. Mark Tighe Sullivan, LCSW
NPI #1356456297 in Asbury Park, New Jersey
Provider Information
- NPI Number
- 1356456297
- Entity Type
- Individual
- Name
- MR. Mark Tighe Sullivan, LCSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Aug 20, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1011 BOND ST
- City
- Asbury Park
- State
- New Jersey
- ZIP Code
- 07712-5939
- Phone
- (732) 869-2781
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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