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1336357987
MARY GARDNER SULLIVAN
YARMOUTH PORT, MA
NPI
1336357987
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA 114161)
Enumeration Date
2007-05-18
Last Update Date
2007-10-09
Business Address
Mrs. MARY GARDNER SULLIVAN L.I.C.S.W.
923 ROUTE 6A SUITE T
YARMOUTH PORT, MA 02675-2159
Phone number: 508-654-0905
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Mailing Address
Mrs. MARY GARDNER SULLIVAN L.I.C.S.W.
PO BOX 295
YARMOUTH PORT, MA 02675-0295
Phone number: 508-362-7167
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