Individual
ABIGAIL JOHNSON MULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
230 PARK AVE., 10TH FLOOR, NEW YORK, NY 10169-1099
(212) 729-3922
Mailing address
38 ROSE AVE, EASTCHESTER, NY 10709-3706
(614) 353-8357
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
080598-1
NY
Other
Enumeration date
04/09/2013
Last updated
01/29/2016
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