Individual
ELISABETH DENAY MULLIN-GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
307 W COTA ST, SHELTON, WA 98584-2265
(253) 353-9011
Mailing address
8701 29TH WAY SE, OLYMPIA, WA 98513-3437
(253) 353-9011
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/19/2019
Last updated
11/19/2019
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