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Individual

JEANNE SULLIVAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
2 CHURCH ST, BURLINGTON, VT 05401-4299
(802) 999-5100
Mailing address
39 WOODBURY RD, BURLINGTON, VT 05408-5723
(802) 999-5100

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0980000760
VT

Other

Enumeration date
05/30/2011
Last updated
05/30/2011
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