Individual
BARBARA MULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-R
Contact information
Practice address
750 FARM TO MARKET RD, ENDWELL, NY 13760-1128
(607) 748-8070
Mailing address
1171 TRACY CREEK RD, VESTAL, NY 13850-5118
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R032857-1
NY
Other
Enumeration date
11/06/2017
Last updated
11/06/2017
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