Individual
TAMAR SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
655 WESTFIELD AVE, ELIZABETH, NJ 07208-1398
(818) 519-2289
Mailing address
655 WESTFIELD AVE, ELIZABETH, NJ 07208-1398
(818) 519-2289
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06823100
NJ
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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