Individual
CASSANDRA MULLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3113 GILMORE RD, MARIANNA, FL 32446-5658
(850) 209-2433
Mailing address
3113 GILMORE RD, MARIANNA, FL 32446-5658
(850) 209-2433
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
FL
Other
Enumeration date
07/22/2024
Last updated
07/24/2024
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