Individual
MISS CLARE SULLIVAN-BLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
172 FRANKLIN ST, QUINCY, MA 02169-7832
(617) 455-5821
Mailing address
172 FRANKLIN ST, QUINCY, MA 02169-7832
(617) 455-5821
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/27/2012
Last updated
07/27/2012
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