Individual
DEBRA SUE MULLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
4320 A1A S STE 7, ST AUGUSTINE, FL 32080-7436
(904) 679-3449
Mailing address
1692 LEON ST, ST AUGUSTINE, FL 32080-5510
(904) 540-6218
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA6826
FL
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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