Individual
MRS. KATHRYN DYAN MCMULLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
104 W RED BANK AVE, WEST DEPTFORD, NJ 08096-3407
(856) 251-9059
(856) 251-9324
Mailing address
104 W RED BANK AVE, WEST DEPTFORD, NJ 08096-3407
(856) 251-9059
(856) 251-9324
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05673500
NJ
Other
Enumeration date
11/25/2013
Last updated
11/25/2013
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