Individual
DAVID E SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
704 MARKETVIEW CT, FAYETTEVILLE, NC 28301-4868
(910) 223-0411
Mailing address
704 MARKETVIEW CT, FAYETTEVILLE, NC 28301-4868
(910) 223-0411
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C002172
NC
Other
Enumeration date
05/06/2007
Last updated
07/08/2007
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