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Organization

ALLEGANY BEHAVIORAL MEDICINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEIRDRE MULL PMHNP-BC (NURSE PRACTITIONER)
(240) 362-7077
Entity
Organization

Contact information

Practice address
517 E OLDTOWN RD, CUMBERLAND, MD 21502-3687
(240) 362-7077
(240) 362-7161
Mailing address
517 E OLDTOWN RD, CUMBERLAND, MD 21502-3687
(240) 362-7077
(240) 362-7161

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R129899
MD

Other

Enumeration date
07/15/2015
Last updated
02/05/2016
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