Individual
ELLEN MAURA SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
39 STAGECOACH RD, HINGHAM, MA 02043-4837
(617) 347-1957
Mailing address
39 STAGECOACH RD, HINGHAM, MA 02043-4837
(617) 347-1957
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
—
Other
Enumeration date
11/19/2018
Last updated
11/19/2018
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