Timothy Sullivan LICSW

NPI 1992827026 - Social Worker - 1041C0700X

NPI Details
NPI 1992827026
Gender Male
Enumeration Date 04/06/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
6 PLEASANT ST
6TH FLOOR
MALDEN MA, 02148-5100, US
Phone (781) 871-6550
Fax
Business Location
PO BOX 490323
EVERETT MA, 02149-0005, US
Phone
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Massachusetts
License Number 1025742
Remove 1992827026 NPI Number
 

According to our database, Timothy Sullivan LICSW NPI is 1992827026, taxonomy code is 1041C0700X and license number is 1025742, license state is located at Massachusetts. Timothy Sullivan LICSW physically located at 6 Pleasant St, Malden MA, 02148-5100. NPI Number Timothy Sullivan LICSW has the Individual type.

Sponsored links

1992827026 NPI number is provided on an as is basis without warranty of any kind. 1992827026 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy Sullivan LICSW are for informational purposes only.