Search › Massachusetts › 1041C0700X
Kenna Sullivan, LICSW
NPI 1942410402 · on the registry since 2007 · sole proprietor
Practice
- Address
- 692 Washington St
Brighton, MA 02135 - Phone
- (617) 312-8067
- Fax
- (617) 254-9479
Additional practice sites
- 1 Boston Medical Ctr Pl, Boston, MA
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-05-08
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