Individual
AUDREY MULLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4101 S 4TH ST, LEAVENWORTH, KS 66048-5014
(785) 817-7847
Mailing address
4101 S 4TH ST, LEAVENWORTH, KS 66048-5014
(785) 817-7847
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
10126
KS
Other
Enumeration date
08/15/2016
Last updated
08/15/2016
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