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Organization
MARK SULLIVAN LLC
Active
Organization
MARK SULLIVAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK J SULLIVAN III MSW (CLINICAL SOCIAL WORKER)
(202) 264-0070
Entity
Organization
Contact information
Practice address
8703 MILFORD AVE, SILVER SPRING, MD 20910-5030
(202) 264-0070
Mailing address
8703 MILFORD AVE, SILVER SPRING, MD 20910-5030
(202) 264-0070
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC50079401
DC
Other
Enumeration date
06/13/2018
Last updated
03/07/2024
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