Individual
RITA MICHELLE MULLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3333 155TH AVE, MILAN, IL 61264-7607
(844) 814-8885
Mailing address
7317 35TH AVENUE CT, MOLINE, IL 61265-8067
(309) 269-6476
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
150.010772
IL
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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