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Charles Sullivan, MSW, LICSW

NPI 1114093259 · on the registry since 2006 · sole proprietor

Practice

Address: 10 High St Ste 10
Medford, MA 02155
Phone: (781) 395-1560
Fax: (781) 391-5564
Organisation at this address: Rachel Dorsey Autistic Slp Llc
Riverway Counseling Associates
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 14

Registry record

Primary taxonomy: Clinical Social Worker
1041C0700X
Licence states on file: VT
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2010-01-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts