Individual
ANNA MULLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1120 S WALTON BLVD STE 135, BENTONVILLE, AR 72712-0077
(479) 208-7216
Mailing address
1120 S WALTON BLVD STE 135, BENTONVILLE, AR 72712-0077
(479) 208-7216
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9120-M
AR
171M00000X
Case Manager/Care Coordinator
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Other
Enumeration date
10/20/2017
Last updated
09/05/2023
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