Individual
MRS. MARY S MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED MFT LPC
Contact information
Practice address
751 E 63RD ST, KANSAS CITY, MO 64110
(816) 333-2040
Mailing address
5433 LOCUST ST, KANSAS CITY, MO 64110
(816) 926-9120
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2006027534
MO
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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