Individual
CASEY ALLYN MULLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH, LICSW, BCBA
Contact information
Practice address
1540 READ ST # 2, SOMERSET, MA 02726-1324
(508) 685-2431
Mailing address
1540 READ ST # 2, SOMERSET, MA 02726-1324
(508) 685-2431
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
2011
MA
103K00000X
Behavior Analyst
LBA00167
RI
1041C0700X
Clinical Social Worker
Primary
121087
MA
1041C0700X
Clinical Social Worker
ISW02940
RI
Other
Enumeration date
06/08/2017
Last updated
07/27/2020
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