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Individual

DR. DANIEL T MULLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
455 E PACES FERRY RD NE, SUITE 228, ATLANTA, GA 30305-3313
(678) 705-5632
Mailing address
455 E PACES FERRY RD NE, SUITE 228, ATLANTA, GA 30305-3313
(504) 237-7919

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
1003
LA
103T00000X
Psychologist
Primary
PSY2934
GA

Other

Enumeration date
06/02/2010
Last updated
09/10/2011
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