Individual
MR. DANIEL T SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
58 OLD COLONY AVE, SOUTH BOSTON, MA 02127-2406
(617) 268-1700
Mailing address
58 OLD COLONY AVE, SOUTH BOSTON, MA 02127-2406
(617) 268-1700
(617) 268-1991
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
115114
MA
Other
Enumeration date
05/16/2007
Last updated
06/07/2011
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