Organization
JEANNE SULLIVAN LICSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNE M SULLIVAN LICSW (SOLE PROPRIETOR)
(802) 999-5100
Entity
Organization
Contact information
Practice address
39 WOODBURY RD, BURLINGTON, VT 05408-5723
(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
—
—
Other
Enumeration date
01/08/2021
Last updated
01/08/2021
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