Individual
ANN MARIE MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
393 SABATTUS ST, LEWISTON, ME 04240-5439
(207) 782-9551
(207) 784-6826
Mailing address
PO BOX 4140, BOSTON, MA 02241-4140
(207) 777-4111
(207) 783-6660
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC6275
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
252080099
—
ME
Enumeration date
05/11/2006
Last updated
12/03/2008
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