Individual
MR. MICHAEL MULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
5305 APOLLO DR NW, ALBUQUERQUE, NM 87120-5711
(505) 553-0704
Mailing address
5305 APOLLO DR NW, ALBUQUERQUE, NM 87120-5711
(505) 553-0704
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-10953
NM
1041C0700X
Clinical Social Worker
FLSW16898
FL
Other
Enumeration date
03/02/2020
Last updated
12/19/2024
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