Individual
CANDACE MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 OFFICE PARK DR, COLUMBIA, KY 42728-1381
(270) 250-5070
(270) 380-1711
Mailing address
203 BURKESVILLE ST STE 101, COLUMBIA, KY 42728-1900
(270) 250-5070
(270) 380-1711
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/08/2024
Last updated
11/08/2024
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