Individual
KELLI GRACE MULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3737 GRAND AVE STE 6, BILLINGS, MT 59102-6258
(406) 839-2985
Mailing address
570 REVOLUTION AVE, BILLINGS, MT 59105-1522
(406) 697-4189
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
50661
MT
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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