Individual
PATRICIA SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSWA
Contact information
Practice address
889 W MAIN ST UNIT C, CENTERVILLE, MA 02632-3067
(508) 771-2101
Mailing address
42 CRANBERRY LN, SOUTH YARMOUTH, MA 02664-1005
(508) 398-4268
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
410168
MA
Other
Enumeration date
06/15/2016
Last updated
06/15/2016
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