Individual
ELIZABETH A MULLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
2939 RUSSELL ST, DETROIT, MI 48207-4825
(313) 396-5300
(313) 396-4270
Mailing address
28215 S CLEMENTS CIR, LIVONIA, MI 48150-3233
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301013757
MI
Other
Enumeration date
08/01/2012
Last updated
08/01/2012
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