Individual
KEEGAN MULLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LEP
Contact information
Practice address
915 N MONTEREY ST APT E, ALHAMBRA, CA 91801-1533
(805) 975-5754
Mailing address
915 N MONTEREY ST APT E, ALHAMBRA, CA 91801-1533
(805) 975-5754
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
4498
CA
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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