MARK ANDREW SULLIVAN

BROCKTON, MA
NPI1790813509
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MA  1020933)
Enumeration Date2007-03-01
Last Update Date2007-07-08
Business Address
Mr. MARK ANDREW SULLIVAN LICSW
111 TORREY ST
BROCKTON, MA 02301-4800
Phone number: 508-584-5190
Mailing Address
Mr. MARK ANDREW SULLIVAN LICSW
179 DEPOT ST
SOUTH EASTON, MA 02375
Phone number: