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Megan Marie Sullivan, LMSW

Social Worker in Binghamton, NY. Individual provider (NPI-1).

NPI number1760735948
StatusActive
Last updated in NPPESOct 24, 2012

Details

NPI
1760735948
Entity type
Individual (NPI-1)
Name
Ms. Megan Marie Sullivan
Credential
LMSW
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 24, 2012
Last updated
Oct 24, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker065934NYYes

Practice location

1128 Vestal Ave
Binghamton, NY 13903-1528

Phone 607-724-0416

Mailing address

1128 Vestal Ave
Binghamton, NY 13903-1528

Phone 607-724-0416

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