Individual
RYLAN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
20 TUTTLE PL STE 4, MIDDLETOWN, CT 06457-1870
(860) 632-3231
Mailing address
20 TUTTLE PL STE 4, MIDDLETOWN, CT 06457-1870
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
CT
Other
Enumeration date
10/24/2022
Last updated
10/24/2022
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