Individual
JOSEPH MICHEAL MULLEN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS,LMFT
Contact information
Practice address
6988 FOX RD, BAXTER, MN 56425-9758
(218) 251-6700
(218) 454-8025
Mailing address
6988 FOX RD, BAXTER, MN 56425-9758
(218) 251-6700
(218) 454-8025
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1627
MN
Other
Enumeration date
01/22/2008
Last updated
10/26/2009
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