Individual
CAITLIN F SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSWA
Contact information
Practice address
2313 EXECUTIVE CIR STE B, GREENVILLE, NC 27834-3744
(252) 353-4968
Mailing address
2602 CROCKETT DR, GREENVILLE, NC 27858-6811
(252) 353-4968
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P007508
NC
Other
Enumeration date
08/20/2012
Last updated
08/20/2012
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