Individual
NADINE JOY ULRIKE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 PACIFIC AVE APT 107, LEOMINSTER, MA 01453-7407
(315) 778-3705
Mailing address
700 PACIFIC AVE APT 107, LEOMINSTER, MA 01453-7407
(315) 778-3705
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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