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Individual

ROBIN MULLICAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6851 OAK HALL LN, SUITE 118, COLUMBIA, MD 21045-5846
(443) 847-0100
Mailing address
PO BOX 6234, COLUMBIA, MD 21045-6234
(443) 847-0100

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
04066
MD
103TC0700X
Clinical Psychologist
04066
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
132190100
MD
Enumeration date
07/26/2006
Last updated
12/02/2016
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