Individual
CHRISTINE MULLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4175 3 MILE RD NW, WALKER, MI 49534-1133
(616) 453-6100
Mailing address
2530 LEONARD ST NW, GRAND RAPIDS, MI 49504-3758
(989) 330-3572
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801092982
MI
Other
Enumeration date
06/09/2019
Last updated
06/09/2019
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