Individual
MANDY BETH MULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
229 REMINGTON AVE, THOMASVILLE, GA 31792-5599
(229) 233-8009
Mailing address
PO BOX 378, THOMASVILLE, GA 31799-0378
(229) 233-8009
(229) 233-8037
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004523
GA
Other
Enumeration date
09/07/2011
Last updated
09/07/2011
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