Individual
CONNOR SOPER-SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
44 COLBORNE RD, BRIGHTON, MA 02135-4103
(781) 202-5455
Mailing address
82 WENDELL AVE, PITTSFIELD, MA 01201-7066
(781) 202-5455
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
973188
MA
Other
Enumeration date
05/06/2022
Last updated
04/02/2025
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