Individual
SUSAN BULLIVANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, PHD
Contact information
Practice address
619 GOVERNORS RD, MILTON, NH 03851-4757
(603) 923-7001
Mailing address
619 GOVERNORS RD, MILTON, NH 03851-4757
(603) 923-7001
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5252
NH
Other
Enumeration date
01/31/2022
Last updated
04/30/2025
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