Individual
DONALD MULLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
10765 LANTERN RD, STE 102, FISHERS, IN 46038-3596
(317) 621-4181
(317) 621-4182
Mailing address
10765 LANTERN RD, STE 102, FISHERS, IN 46038-3596
(317) 621-4181
(317) 621-4182
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34003694A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000700302
ANTHEM
IN
01
—
7871151
AETNA
IN
Enumeration date
01/11/2011
Last updated
09/08/2011
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