Individual
DORIS SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
201 HOOPER AVE, TOMS RIVER, NJ 08753-7691
(732) 244-7979
(732) 244-7985
Mailing address
201 HOOPER AVE, TOMS RIVER, NJ 08753-7691
(732) 244-7979
(732) 244-7985
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
44SC04565500
NJ
Other
Enumeration date
04/14/2006
Last updated
01/13/2009
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