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Organization
NANCY A SULLIVAN, LCSW PLLC
Active
Organization
NANCY A SULLIVAN, LCSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY A SULLIVAN LCSWR (OWNER SOLE PROPRIETOR)
(917) 751-5952
Entity
Organization
Contact information
Practice address
159-13 HORACE HARDING EXPWY, FRESH MEADOWS, NY 11365-1424
(917) 751-5952
(718) 460-5488
Mailing address
159-13 HORACE HARDING EXPWY, FRESH MEADOWS, NY 11365-1424
(917) 751-5952
(718) 460-5488
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03887285
—
NY
Enumeration date
10/31/2022
Last updated
03/02/2023
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