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Individual

ALPATRICIA MULKEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
QBA

Contact information

Practice address
2630 SHERWOOD ST, LAS VEGAS, NV 89109-1362
(702) 644-4195
(702) 644-2519
Mailing address
2630 SHERWOOD ST, LAS VEGAS, NV 89109-1362
(702) 644-4195
(702) 644-2519

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
76708
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
76708
MEDICAID
NV
Enumeration date
11/02/2011
Last updated
11/02/2011
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