Individual
MR. RICHARD A SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA, LSW
Contact information
Practice address
26 VIDEN RD, QUINCY, MA 02169-7907
(857) 488-5373
(617) 516-0281
Mailing address
26 VIDEN RD, QUINCY, MA 02169-7907
(857) 488-5373
(617) 516-0281
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
Primary
314564
MA
Other
Enumeration date
01/10/2014
Last updated
02/24/2016
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