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Individual

MR. PAUL JAMES MULLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BCBA, CCC

Contact information

Practice address
12619 100TH LANE NE, I-143, KIRKLAND, WA 98034
(425) 218-5799
Mailing address
12619 100TH LN NE, UNIT I-143, KIRKLAND, WA 98034-2868
(425) 218-5799

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CL60313566
WA
103K00000X
Behavior Analyst
Primary
1-11-8982
WA

Other

Enumeration date
08/19/2013
Last updated
08/19/2013
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