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Individual

JOANNE SULLIVAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
15 WAITT RD, LYNN, MA 01902-1035
(781) 581-6647
Mailing address
15 WAITT RD, LYNN, MA 01902-1035
(781) 581-6647

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
09/09/2008
Last updated
09/09/2008
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