Individual
MICHELLE MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
945 N ADAMS ST, PAPILLION, NE 68046-3102
(402) 680-3088
Mailing address
1913 FARNAM ST APT 504, OMAHA, NE 68102-1915
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-149616
NE
1041C0700X
Clinical Social Worker
073797
IA
Other
Enumeration date
08/08/2014
Last updated
01/19/2016
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