Individual
SHERRY A. MULLENS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
AMADO TERRITORY RANCH, 3001 E. FRONTAGE RD., AMADO, AZ 85645
(520) 398-2370
(520) 398-2746
Mailing address
PO BOX 4316, 93 CULTON LANE, TUBAC, AZ 85646-4316
(520) 398-2370
(520) 398-2746
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW 10577
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
926454
—
AZ
Enumeration date
03/14/2006
Last updated
07/08/2007
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