MRS. Jennifer Marie Sullivan-Brunault, LICSW
NPI #1750650487 in Agawam, Massachusetts
Provider Information
- NPI Number
- 1750650487
- Entity Type
- Individual
- Name
- MRS. Jennifer Marie Sullivan-Brunault, LICSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Dec 27, 2011
- Last Updated
- Dec 27, 2011
Practice Location
- Address
- 335 WALNUT ST. EXTENSION, SUITE 200
- Address 2
- AGAWAM PROFESSIONAL CENTER
- City
- Agawam
- State
- Massachusetts
- ZIP Code
- 01001-1524
- Phone
- (413) 789-8955
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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