SHANNON SULLIVAN

PROVIDENCE, RI
NPI1588609796
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: RI  CSW00722)
Enumeration Date2006-06-19
Last Update Date2010-12-16
Business Address
-- SHANNON SULLIVAN LCSW
101 DUDLEY ST
PROVIDENCE, RI 02905-2401
Phone number: 401-274-1100
Mailing Address
-- SHANNON SULLIVAN LCSW
101 DUDLEY ST
PROVIDENCE, RI 02905-2401
Phone number:
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