Individual
KATELYN RUTH MULLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4485 S BUFFALO DR, LAS VEGAS, NV 89147-5006
(702) 888-6300
Mailing address
4485 S BUFFALO DR, LAS VEGAS, NV 89147-5006
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10985-C
NV
1041C0700X
Clinical Social Worker
229184
MA
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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