Individual
CHARLES THOMAS MULLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
613 CHERRY ST, NORTH WILKESBORO, NC 28659-4229
(336) 651-7105
Mailing address
613 CHERRY ST, NORTH WILKESBORO, NC 28659-4229
(336) 651-7105
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
831636
NC
Other
Enumeration date
04/23/2026
Last updated
04/23/2026
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