Individual
SUSAN MULRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
221 W MAIN ST, COUNCIL GROVE, KS 66846-1704
(785) 564-0865
Mailing address
203 7TH ST, PO BOX 173, DWIGHT, KS 66849-9596
(785) 564-0865
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1756
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
069374
BCBS NUMBER
KS
Enumeration date
06/02/2006
Last updated
01/04/2011
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