Individual
JENNIE GRAY MULLIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1911 HALLMAN ST NE, ATLANTA, GA 30317-1001
(828) 777-4252
Mailing address
1911 HALLMAN ST NE, ATLANTA, GA 30317-1001
(828) 777-4252
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW006665
GA
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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