Individual
ALICIA KAY MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 LINCOLN PARK ROAD, SPRINGFIELD, KY 40069-1501
(844) 435-0900
(270) 858-4029
Mailing address
PO BOX 1080, BURKESVILLE, KY 42717-1080
(270) 858-6655
(270) 858-4607
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
AR
1041C0700X
Clinical Social Worker
Primary
254211
KY
1041C0700X
Clinical Social Worker
7172-C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100606470
—
KY
Enumeration date
06/12/2013
Last updated
09/15/2022
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