Individual
MARY SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
435 GLENWOOD RD, BINGHAMTON, NY 13905-1606
(607) 763-3358
Mailing address
435 GLENWOOD RD, BINGHAMTON, NY 13905-1606
(607) 763-3358
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
NY
Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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