Individual
EDWARD DAVID MULLIGAN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2315 FLORIDA STREET BLDG 200,, SUITE 226, MANDEVILLE, LA 70448
(985) 774-0175
(985) 377-0980
Mailing address
1901 HIGHWAY 190 APT 1323, MANDEVILLE, LA 70448-3486
(985) 774-0175
(985) 377-0980
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6610
LA
Other
Enumeration date
06/12/2008
Last updated
12/05/2025
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