Jessica C Sullivan, LCSW-R

NPI #1396085304 in Monroe, New York

Provider Information

NPI Number
1396085304
Entity Type
Individual
Name
Jessica C Sullivan, LCSW-R
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCSW-R
Enumeration Date
Feb 28, 2013
Last Updated
Jun 24, 2020

Practice Location

Address
360 STATE ROUTE 17M
Address 2
SUITE 4
City
Monroe
ZIP Code
10950-3443
Phone
(845) 547-0479

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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