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Individual

MS. ELIZABETH LOUISE MULLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSSW LCSW

Contact information

Practice address
401 HOLSTON DR, NOLACHUCKEY MENTAL HEALTH CENTER, GREENEVILLE, TN 37743
(423) 639-1104
(423) 636-8365
Mailing address
PO BOX 9054, GRAY, TN 37615-9054
(423) 467-3600
(423) 467-3696

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSW1007
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
132695
VALUEOPTIONS
01
3066716
MAGELLAN PINNACLE
01
334969
VALUEOPTIONS GROUP
05
3693174
TN
05
3920247
TN
01
7759268
AETNA
Enumeration date
08/13/2006
Last updated
07/09/2007
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