Individual
CARLY ANN MULLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 YEARSLEY MILL RD, MEDIA, PA 19063-5593
(484) 227-1439
Mailing address
215 CANFORD DR, BROOMALL, PA 19008-3802
(484) 682-5806
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC017553
PA
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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