Individual
CODY STAR MULLINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
555 STOCKTON ST, JACKSONVILLE, FL 32204-2534
(904) 832-0511
Mailing address
555 STOCKTON ST, JACKSONVILLE, FL 32204-2534
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW18678
FL
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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