Individual
MRS. STEPHANIE LOUISE MULLIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCTMB
Contact information
Practice address
9430 FORESTWOOD LN STE 104, MANASSAS, VA 20110-4754
(703) 447-9040
Mailing address
9430 FORESTWOOD LN STE 104, MANASSAS, VA 20110-4754
(703) 447-9040
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019002282
VA
Other
Enumeration date
05/02/2026
Last updated
05/02/2026
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