LARA SULLIVAN

BOSTON, MA
NPI1528270345
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MA  113799)
Enumeration Date2007-05-04
Last Update Date2007-07-08
Business Address
-- LARA SULLIVAN LICSW
75 FRANCIS ST
BOSTON, MA 02115-6110
Phone number: 617-732-4623
Mailing Address
-- LARA SULLIVAN LICSW
137 CORNELL ST #2
ROSLINDALE, MA 02131-4543
Phone number: 857-389-2462