Individual
MR. EDWIN THOMAS MULLAVEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.C.C.
Contact information
Practice address
380 SUMMIT AVE, TOWER TWO ROOM TEN, STEUBENVILLE, OH 43952-2667
(740) 283-7860
(740) 283-7853
Mailing address
380 SUMMIT AVENUE., TOWER TWO ROOM TEN, STEUBENVILLE, OH 43952
(740) 283-7860
(740) 283-7853
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E 0003333
OH
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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