Most Relevant Information
Provider Data
| NPI Number: | 1003007212 |
| Provider Name: | ERIN ELIZABETH SULLIVAN |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/05/2007 |
| Last Updated: | 08/14/2007 |
Provider Practice Location
940 BELMONT ST
BROCKTON
MA
023015596
Practice Location Phone/Fax
| Phone: | 5085834500 |
| Fax: |
Provider Mailing Location
46 SERINO WAY
SAUGUS
MA
019062851
Provider Mailing Phone/Fax
| Phone: | 6179530257 |
| Fax: |