Individual
MRS. ERIN KELMARTIN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
9627 PHILADELPHIA RD STE 160, ROSEDALE, MD 21237-4157
(410) 780-5203
Mailing address
9012 TAMMY RD, NOTTINGHAM, MD 21236-1834
(410) 215-5414
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
25500
MD
Other
Enumeration date
10/19/2019
Last updated
10/19/2019
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