Individual
GABRIELLE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1555 ELM ST, MANCHESTER, NH 03101-1203
(603) 668-4111
Mailing address
2 WALL ST STE 100, MANCHESTER, NH 03101-1518
(603) 668-4111
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
NH
Other
Enumeration date
08/28/2018
Last updated
10/17/2022
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