Individual
STEPHANIE MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1215 1ST AVE, MIDDLETOWN, OH 45044-4117
(151) 376-0425
Mailing address
1215 1ST AVE, MIDDLETOWN, OH 45044-4117
(151) 376-0425
(513) 849-2071
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
APS003641
OH
Other
Enumeration date
11/01/2022
Last updated
11/01/2022
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