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1528270345
LARA SULLIVAN
BOSTON, MA
NPI
1528270345
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA 113799)
Enumeration Date
2007-05-04
Last Update Date
2007-07-08
Business Address
-- LARA SULLIVAN LICSW
75 FRANCIS ST
BOSTON, MA 02115-6110
Phone number: 617-732-4623
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Mailing Address
-- LARA SULLIVAN LICSW
137 CORNELL ST #2
ROSLINDALE, MA 02131-4543
Phone number: 857-389-2462
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