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Individual

MRS. CHRISTINE E SULLIVAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
2 POPLAR AVE, BRONX, NY 10465-3825
(917) 364-0346
Mailing address
2 POPLAR AVE, BRONX, NY 10465-3825
(917) 364-0346

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
081860
NY

Other

Enumeration date
09/14/2010
Last updated
03/29/2013
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