Individual
MRS. SUSAN TAYLOR MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S
Contact information
Practice address
628 LAKE ST NE, WISE, VA 24293-7919
(276) 328-8017
(276) 328-6608
Mailing address
628 LAKE ST NE, WISE, VA 24293-7919
(276) 328-8017
(276) 328-6608
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
0813000076
VA
Other
Enumeration date
08/11/2017
Last updated
08/11/2017
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