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Individual
DESTINEA DOMONIQUE MULLAR
Active
Individual
DESTINEA DOMONIQUE MULLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
299060704
NY
Other
Enumeration date
07/18/2019
Last updated
12/20/2022
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