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Individual
SANDRA L MCMULLIN
Active
Individual
SANDRA L MCMULLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC-SUPV
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E.0700447-SUPV
OH
101YP2500X
Professional Counselor
E.0700447-SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0233251
—
OH
05
—
0244965
—
OH
01
—
78797000
OH/ID
OH
Enumeration date
02/27/2009
Last updated
04/06/2023
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