Sullivan, Laura M.

Sullivan, Laura M. is an individual health care provider with primary practice located at 14014 State Route 31 , Albion NY 14411-9301. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Sullivan, Laura M. can be contacted via phone (585) 589-7066.

Contact Information

Primary practice address
14014 State Route 31 Albion NY 14411-9301
Phone: (585) 589-7066
Fax: (585) 589-6395
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 072927-1 New York

Profile Details

NPI number 1306904750
LBN Legal business name Sullivan, Laura M.
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2006
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1306904750 NPPES
New York MEDICAID 00072927

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