# MS. MARY KATHERINE ELIZABETH SULLIVAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1881267540
- **Gender:** F
- **Credential:** LCSW, LICSW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 0904016013 | VA | — |
| 1041C0700X | Clinical Social Worker | 112281 | TX | — |
| 1041C0700X | Clinical Social Worker | 15192 | LA | — |
| 1041C0700X | Clinical Social Worker | 5027C | AL | Yes |

## Other

- **Enumeration date:** 07/21/2021
- **Last updated:** 05/23/2024