Individual
DEBRA A MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1557 CLEVELAND AVE, MARINETTE, WI 54143-3920
(715) 732-6868
Mailing address
1557 CLEVELAND AVE, MARINETTE, WI 54143-3920
(715) 732-6868
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
4253-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40997200
—
WI
Enumeration date
11/01/2006
Last updated
05/13/2024
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