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Individual

CHRISTIE SULLIVAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
45 MARCY ST, WORCESTER, MA 01602-3253
(603) 969-4195
Mailing address
45 MARCY ST, WORCESTER, MA 01602-3253
(603) 969-4195

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
119489
MA

Other

Enumeration date
09/09/2016
Last updated
09/09/2016
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