Individual
MARY C MUELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
120 WAYLAND AVE, PROVIDENCE, RI 02906
(401) 273-8889
(401) 273-9997
Mailing address
120 WAYLAND AVE, PROVIDENCE, RI 02906
(401) 273-8889
(401) 273-9997
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW00764
RI
Other
Enumeration date
03/27/2007
Last updated
06/09/2008
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