Individual
MRS. CALLIOPE SULLIVAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4713 215TH ST, BAYSIDE, NY 11361-3347
(718) 423-4341
(718) 423-4341
Mailing address
4713 215TH ST, BAYSIDE, NY 11361-3347
(718) 423-4341
(718) 423-4341
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R021821-1
NY
Other
Enumeration date
06/18/2006
Last updated
07/08/2007
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