Individual
MARIQUITA GABRIELA MULLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
58 SHARPSTEAD LN, GAITHERSBURG, MD 20878-4502
(617) 515-9196
Mailing address
58 SHARPSTEAD LN, GAITHERSBURG, MD 20878-4502
(617) 515-9196
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4099
MA
Other
Enumeration date
01/31/2007
Last updated
09/11/2025
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