MRS. Agnes Sullivan, LCSW, MSC, BSC

NPI #1467188052 in Richmond Hill, New York

Provider Information

NPI Number: 1467188052
Entity Type: Individual
Name: MRS. Agnes Sullivan, LCSW, MSC, BSC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW, MSC, BSC
Enumeration Date: Jul 27, 2022
Last Updated: Jul 27, 2022

Practice Location

Address: 8546 115TH ST
City: Richmond Hill
State: New York
ZIP Code: 11418-1732
Phone: (858) 342-5753

Specialties & Taxonomy Codes

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

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