Individual
GREGORY W MULRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1225 W MITCHELL ST, 223, MILWAUKEE, WI 53204-3383
(414) 383-4455
(414) 727-8730
Mailing address
1225 W MITCHELL ST, 223, MILWAUKEE, WI 53204-3383
(414) 383-4455
(414) 727-8730
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
715-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
715-123
WI STATE LICENSE
WI
Enumeration date
05/28/2013
Last updated
05/28/2013
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