Individual
MS. DORA MAE MULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W LCSW
Contact information
Practice address
12024 JASMINE COVE WAY, RALEIGH, NC 27614-8042
(919) 609-0935
(919) 556-9377
Mailing address
12024 JASMINE COVE WAY, RALEIGH, NC 27614-8042
(919) 609-0935
(919) 556-9377
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C004280
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6106596
—
NC
Enumeration date
09/17/2007
Last updated
09/17/2007
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