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Individual
DANIEL SULLIVAN
Active
Individual
DANIEL SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
087613
NY
Other
Enumeration date
12/10/2013
Last updated
10/28/2019
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