Individual
MS. LORETTA (LORIE) KATHERINE MULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-S
Contact information
Practice address
40 12TH ST STE 222, WHEELING, WV 26003-3279
(740) 296-3633
Mailing address
55380 WABASH ST, BRIDGEPORT, OH 43912-1211
(740) 296-3633
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
DP00944040
WV
1041C0700X
Clinical Social Worker
Primary
I 1000220 SUPV
OH
Other
Enumeration date
08/13/2013
Last updated
08/13/2013
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