Individual
RICHARD JAMES SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2155 NE 187TH ST, NORTH MIAMI BEACH, FL 33179-4311
(305) 792-6113
Mailing address
2155 NE 187TH ST, NORTH MIAMI BEACH, FL 33179-4311
(305) 792-6113
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
LCSW 8498
FL
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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