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Individual
LESLIE MULLIGAN
Active
Individual
LESLIE MULLIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13266
NC
101YM0800X
Mental Health Counselor
CC3059
ME
101YP2500X
Professional Counselor
13266
NC
101YP2500X
Professional Counselor
CC3059
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26-2062123
FEIN
ME
Enumeration date
01/24/2007
Last updated
03/29/2019
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