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Individual

MRS. JOAN FRANCES MULLENS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.C.S.W

Contact information

Practice address
815 S CASCADE AVE, COLORADO SPRINGS, CO 80903
(719) 332-4568
Mailing address
815 S CASCADE AVE, COLORADO SPRINGS, CO 80903-4101
(719) 332-4568

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
991542
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
126424
CO
Enumeration date
11/15/2006
Last updated
08/28/2019
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