Individual
MELISSA SUZANNE FUNDORA MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
320 PACIFIC PL, MOUNT VERNON, WA 98273-5463
(360) 416-7570
Mailing address
2210 DONOVAN AVE, BELLINGHAM, WA 98225-7553
(661) 210-9630
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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