Individual
CHRISTINE LOUISE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1968 CENTRAL AVE, NEEDHAM, MA 02492-1410
(781) 292-2136
Mailing address
1968 CENTRAL AVE, NEEDHAM, MA 02492-1410
(781) 292-2136
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
111835
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1200925
—
MA
Enumeration date
09/14/2006
Last updated
10/03/2008
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