Individual
CAROLINE JANE MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
4100 W 3RD ST # 117A, DAYTON, OH 45428-9000
(937) 268-6511
Mailing address
614 W 11TH ST, COVINGTON, KY 41011-2102
(740) 816-9088
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A.02247
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A.02247
OHIO SPEECH AND HEARING PROFESSIONALS BOARD
OH
Enumeration date
06/03/2020
Last updated
06/03/2020
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