MS. Jessica R Sullivan, LICSW

NPI #1881906402 in West Springfield, Massachusetts

Provider Information

NPI Number: 1881906402
Entity Type: Individual
Name: MS. Jessica R Sullivan, LICSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LICSW
Enumeration Date: Jul 12, 2010
Last Updated: May 6, 2016

Practice Location

Address: 103 MYRON ST
Address 2: SUITE A
City: West Springfield
State: Massachusetts
ZIP Code: 01089-1598
Phone: (413) 592-1980

Specialties & Taxonomy Codes

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

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