Diane Sullivan, LICSW

NPI #1790289338 in North Attleboro, Massachusetts

Provider Information

NPI Number
1790289338
Entity Type
Individual
Name
Diane Sullivan, LICSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LICSW
Enumeration Date
Mar 20, 2018
Last Updated
Mar 20, 2018

Practice Location

Address
72 ACHILLES WAY
ZIP Code
02763-4018
Phone
(508) 838-7192

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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