Individual
MRS. DEANNA MAE MULLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1170 E SHARONS WAY APT 104, NAMPA, ID 83686-6059
(207) 409-4758
Mailing address
1170 E SHARONS WAY APT 104, NAMPA, ID 83686-6059
(207) 409-4758
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LC14843
ME
1041C0700X
Clinical Social Worker
Primary
LCSW-35099
ID
Other
Enumeration date
11/21/2014
Last updated
07/17/2020
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