Individual
CHAD MICHAEL MCMULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
325 E PIONEER AVE, PUYALLUP, WA 98372-3265
(253) 445-8120
(253) 697-8392
Mailing address
325 E PIONEER AVE, PUYALLUP, WA 98372-3265
(253) 445-8120
(253) 697-8392
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
RC 60031950
WA
Other
Enumeration date
11/12/2008
Last updated
04/12/2010
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