Individual
MRS. ANTOINETTE O SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
65 VILLAGE SQUARE DR, SOUTH KINGSTOWN, RI 02879-2292
(401) 789-5924
(401) 782-1770
Mailing address
10 DAVOL SQ, SUITE 400, PROVIDENCE, RI 02903-4754
(401) 421-4000
(401) 272-1456
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW01516
RI
Other
Enumeration date
02/07/2007
Last updated
04/09/2024
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