Individual
DR. EDWARD J MULDROW III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW,PHD
Contact information
Practice address
1560 W BAY AREA BLVD, SUITE 110, FRIENDSWOOD, TX 77546-2667
(281) 480-2400
(281) 480-2407
Mailing address
7524 S STATE RD, CHICAGO, IL 60638-6624
(832) 233-2791
(281) 480-2407
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.024548
IL
1041C0700X
Clinical Social Worker
33383
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006LJ
BLUE CROSS
TX
05
—
163329901
—
TX
Enumeration date
12/29/2005
Last updated
01/04/2023
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