Individual
MARY LEE MULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
633 ASBURY DR, SUITE A, MANDEVILLE, LA 70471-6511
(504) 723-0881
Mailing address
3524 LAKE TRAIL DR, KENNER, LA 70065-3310
(504) 723-0881
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7575
LA
Other
Enumeration date
06/26/2015
Last updated
06/26/2015
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