Individual
DR. RICHARD MULLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
319 E MADISON ST, SPRINGFIELD, IL 62701-1035
(217) 303-2131
Mailing address
PO BOX 1640, SAINT LOUIS, MO 63188-1640
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2016017427
MO
Other
Enumeration date
04/25/2022
Last updated
04/25/2022
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