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Individual
MS. MARY E SULLIVAN
Active
Individual
MS. MARY E SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC04326100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11626
VALUE OPTIONS
—
01
—
138555000
MAGELLAN
—
01
—
167870
MHN
—
01
—
6276254
UNITED BEH HEALTH
—
01
—
P809023
OXFORD
—
Enumeration date
10/04/2006
Last updated
05/01/2014
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