Individual
MAUREEN CECILIA MULLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
95 S PAGOSA BLVD, PAGOSA SPRINGS, CO 81147-8329
(970) 731-9545
(970) 731-0511
Mailing address
95 S PAGOSA BLVD, PAGOSA SPRINGS, CO 81147-8329
(970) 731-9545
(970) 731-0511
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
074938
NY
104100000X
Social Worker
Primary
LSW.0009920947
CO
Other
Enumeration date
11/10/2015
Last updated
11/10/2015
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