Sullivan, Mary Gardner
Sullivan, Mary Gardner is an sole proprietor health care provider with primary practice located at 923 Route 6A Suite T, Yarmouth Port MA 02675-2159. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Sullivan, Mary Gardner can be contacted via phone (508) 654-0905.Contact Information
Primary practice address
923 Route 6A Suite T
Yarmouth Port MA 02675-2159
Phone: (508) 654-0905
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 114161 | Massachusetts |
Profile Details
NPI number | 1336357987 |
---|---|
LBN Legal business name | Sullivan, Mary Gardner |
Credentials | L.I.C.S.W. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 18th, 2007 |
Last updated | Oct 9th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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