MR. John Michael Sullivan, L.C.S.W., C.A.S.A.C.

NPI #1881812410 in Peekskill, New York

Provider Information

NPI Number
1881812410
Entity Type
Individual
Name
MR. John Michael Sullivan, L.C.S.W., C.A.S.A.C.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
L.C.S.W., C.A.S.A.C.
Enumeration Date
Apr 20, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
735 REQUA ST
ZIP Code
10566-4615
Phone
(914) 736-2549

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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