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Individual

MR. JOSEPH MULLIGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
1301 SHILOH RD., STE. 849, KENNESAW, GA 30144
(858) 248-5153
Mailing address
3626 STEINHAUER RD NE, MARIETTA, GA 30066-4755
(858) 248-5153

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW005488
GA

Other

Enumeration date
04/14/2016
Last updated
04/14/2016
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