Organization
MARILYN MULL L.C.S.W. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARILYN MULL LCSW (PRESIDENT)
(541) 672-7142
Entity
Organization
Contact information
Practice address
1012 SE OAK AVE, 347, ROSEBURG, OR 97470-4985
(541) 672-7142
Mailing address
PO BOX 1516, ROSEBURG, OR 97470-0358
(541) 672-7142
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
1242
OR
Other
Enumeration date
05/03/2008
Last updated
05/03/2008
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