Individual
MEREDITH SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1507 WASHINGTON ST, NEWTON, MA 02465-2219
(617) 965-0764
Mailing address
1507 WASHINGTON ST, NEWTON, MA 02465-2219
(617) 965-0764
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
115010
MA
Other
Enumeration date
10/24/2018
Last updated
10/24/2018
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