Individual
MRS. WANDA MULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ICAADC, LMSW
Contact information
Practice address
942 WALKER RD, DOVER, DE 19904-2757
(302) 678-9962
Mailing address
942 WALKER RD STE B, DOVER, DE 19904-2757
(302) 678-9962
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1184
—
Other
Enumeration date
05/16/2017
Last updated
12/10/2019
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