Individual
LAURA MULLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3015 VETERANS PKWY S, MOULTRIE, GA 31788-6705
(229) 985-4815
Mailing address
3015 VETERANS PKWY S, MOULTRIE, GA 31788-6705
(229) 873-6479
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW005190
GA
Other
Enumeration date
12/22/2014
Last updated
04/27/2015
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