Individual
BROOKE MULLINEAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3020 CHILDRENS WAY # MC5100, SAN DIEGO, CA 92123
(858) 576-1700
Mailing address
3020 CHILDRENS WAY # MC5100, SAN DIEGO, CA 92123-4223
(858) 576-1700
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW82016
CA
Other
Enumeration date
10/08/2012
Last updated
10/21/2020
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