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Individual

CHRISTINE SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1 WIDGER RD, MARBLEHEAD, MA 01945-2146
(781) 631-5126
(781) 631-5175
Mailing address
1 WIDGER RD, MARBLEHEAD, MA 01945-2146
(781) 631-5126
(781) 631-5175

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
221222
MA

Other

Enumeration date
11/07/2016
Last updated
11/07/2016
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