Individual
LISA MOSES MULLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1114 WARBLER CT, BOWLING GREEN, OH 43402-9359
(479) 308-0389
Mailing address
1114 WARBLER CT, BOWLING GREEN, OH 43402-9359
(479) 308-0389
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
14212
OH
235Z00000X
Speech-Language Pathologist
Primary
201957
AL
Other
Enumeration date
11/02/2022
Last updated
11/02/2022
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