Individual
MRS. ANN THERESE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
559 WILLARD ST, BAYVIEW/SOUTHSHOREMENTALHEALTH, QUINCY, MA 02169
(617) 689-2531
Mailing address
21 MAYPOLE RD, QUINCY, MA 02169-2311
(617) 328-5710
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
106936
MA
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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