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Individual
DR. WALTER J. MULLIN
Active
Individual
DR. WALTER J. MULLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
104064
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
400430
MAGELLAN
MA
01
—
P02205
BLUE CROSS BLUE SHIELD
MA
Enumeration date
01/06/2007
Last updated
10/15/2020
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