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1184768731
ROBERT D. SULLAWAY
JAMAICA PLAIN, MA
NPI
1184768731
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: MA 106995)
Enumeration Date
2007-02-16
Last Update Date
2007-07-08
Business Address
ROBERT D. SULLAWAY MSW
170 MORTON ST 9SOUTH
JAMAICA PLAIN, MA 02130-3735
Phone number: 617-971-3679
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Mailing Address
ROBERT D. SULLAWAY MSW
31 CRESCENT AVE
NEWTON, MA 02459-2133
Phone number: 617-527-1991
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