CHARLES SULLIVAN

MEDFORD, MA
NPI1114093259
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: VT  089.0060196)
Enumeration Date2006-11-28
Last Update Date2010-01-04
Business Address
Mr. CHARLES SULLIVAN MSW, LICSW
10 HIGH ST STE 10
MEDFORD, MA 02155-3848
Phone number: 781-395-1560
Mailing Address
Mr. CHARLES SULLIVAN MSW, LICSW
PO BOX 681
NEWPORT, VT 05855-0681
Phone number: 781-254-4958
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