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Individual

BETHANY MULLINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
309 VOLUNTEER AVE, CLINTWOOD, VA 24228-9400
(276) 926-4643
Mailing address
296 S B CIR, CLINTWOOD, VA 24228-5733

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202012009
VA

Other

Enumeration date
08/21/2025
Last updated
08/21/2025
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