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Individual

CHRISTINE KAREN SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
852 GOLD HILL RD STE 204, FORT MILL, SC 29708-6965
(803) 228-4038
Mailing address
852 GOLD HILL RD STE 204, FORT MILL, SC 29708-6965
(585) 683-2957

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
13539
SC

Other

Enumeration date
11/17/2021
Last updated
12/23/2021
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