Individual
BETH A. MULLEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
103 MYRON ST, SUITE A, WEST SPRINGFIELD, MA 01089-1598
(413) 592-1980
(413) 439-0100
Mailing address
46 PAWTUCKET BLVD, #33, TYNGSBORO, MA 01879-1584
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
111116
MA
Other
Enumeration date
02/08/2012
Last updated
02/08/2012
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