Individual
GEORGE BERNARD MULLIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
8901 NEW HAMPSHIRE AVE, SILVER SPRING, MD 20903-3611
(301) 445-7970
Mailing address
12801 OLD COLUMBIA PIKE APT 123, SILVER SPRING, MD 20904-5255
(817) 239-0749
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
114596
MA
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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