Individual
MARGARET LILLIAN LIONSBEARD SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
141 E MAIN ST, WATERBURY, CT 06702-2310
(203) 574-9000
Mailing address
1309 S MAIN ST, WATERBURY, CT 06706-1758
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10527
CT
Other
Enumeration date
12/22/2016
Last updated
01/21/2020
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