Individual
MRS. KATHERINE MICHELE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
215 MAIN ST, WESTPORT, CT 06880-3210
(203) 454-2428
(203) 454-2447
Mailing address
165 SHORT HILL LN, FAIRFIELD, CT 06825-2508
(914) 417-1356
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004870
CT
Other
Enumeration date
02/29/2008
Last updated
02/29/2008
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