Individual
MARYANN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADAC
Contact information
Practice address
386 STANLEY ST, FALL RIVER, MA 02720-6009
(508) 679-5222
Mailing address
10 HARTLEY RD, ROCHESTER, MA 02770-1608
(508) 763-4513
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1337AD
MA
Other
Enumeration date
01/29/2008
Last updated
01/29/2008
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