Ann L Sullivan LICSW

NPI 1881672525 - Social Worker - 104100000X

NPI Details
NPI 1881672525
Gender Female
Enumeration Date 01/04/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
630 PLANTATION ST
WORCESTER MA, 01605, US
Phone (508) 595-2041
Fax (508) 853-7149
Business Location
630 PLANTATION ST
WOT 12TH FLOOR ATTN PHYSICIAN SERVICES
WORCESTER MA, 01605, US
Phone (508) 852-5529
Fax (508) 368-5530
Toxanomy
Taxonomy Code 104100000X
License State Massachusetts
License Number 208779
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According to our database, Ann L Sullivan LICSW NPI is 1881672525, taxonomy code is 104100000X and license number is 208779, license state is located at Massachusetts. Ann L Sullivan LICSW physically located at 630 Plantation St, Worcester MA, 01605. NPI Number Ann L Sullivan LICSW has the Individual type.

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1881672525 NPI number is provided on an as is basis without warranty of any kind. 1881672525 is maintained by the National Plan & Provider Enumeration System. The contents of Ann L Sullivan LICSW are for informational purposes only.