Individual
MISS BRIGID KATHERINE MULLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
445 OAK ST, COPIAGUE, NY 11726-3111
(631) 691-7080
(631) 691-3387
Mailing address
118 MAPLE BLVD, LONG BEACH, NY 11561-3817
(516) 840-5117
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
72074690
NY
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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