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Individual

GRACE KATHRYN MULLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LSW

Contact information

Practice address
3737 LANDER RD, PEPPER PIKE, OH 44124-5712
(216) 831-2255
Mailing address
3737 LANDER RD, PEPPER PIKE, OH 44124-5712
(216) 831-2255

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
S.1900808
OH
1041C0700X
Clinical Social Worker
Primary
S-2005266
OH
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
04/25/2018
Last updated
08/10/2020
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