Individual
ANTHONY MULLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
455 EMERALD AVE NE APT 1, GRAND RAPIDS, MI 49503-1869
(734) 730-2525
Mailing address
455 EMERALD AVE NE APT 1, GRAND RAPIDS, MI 49503-1869
(734) 730-2525
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/27/2014
Last updated
04/27/2014
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