Christine Louise Sullivan, LICSW

NPI #1396840054 in Needham, Massachusetts

Provider Information

NPI Number: 1396840054
Entity Type: Individual
Name: Christine Louise Sullivan, LICSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LICSW
Enumeration Date: Sep 14, 2006
Last Updated: Oct 3, 2008

Practice Location

Address: 1968 CENTRAL AVE
City: Needham
State: Massachusetts
ZIP Code: 02492-1410
Phone: (781) 292-2136

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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