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1023127651
RICHARD MICHAEL SULLIVAN
NEWBURGH, NY
NPI
1023127651
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY R040746-1)
Enumeration Date
2006-08-29
Last Update Date
2019-01-24
Business Address
RICHARD MICHAEL SULLIVAN LCSW-R
410 GIDNEY AVE STOP 3
NEWBURGH, NY 12550-3764
Phone number: 845-542-4416
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Mailing Address
RICHARD MICHAEL SULLIVAN LCSW-R
410 GIDNEY AVE STOP 3
NEWBURGH, NY 12550-3764
Phone number: 845-542-4416
Copy
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