Individual
MR. JOHN JOSEPH SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
114 BOSTON POST RD, WEST HAVEN, CT 06516-2043
(203) 931-4032
(203) 931-4068
Mailing address
466 CHIPMAN STREET EXT, WATERBURY, CT 06708-3638
(203) 575-1155
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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