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Organization

CORY J MULLINS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CORY J MULLINS LMSW QIDP (CEO, THERAPIST)
(248) 895-1455
Entity
Organization

Contact information

Practice address
1711 CASS LAKE RD, KEEGO HARBOR, MI 48320-1047
(248) 895-1455
(248) 481-4352
Mailing address
1711 CASS LAKE RD, KEEGO HARBOR, MI 48320-1047
(248) 895-1455
(248) 481-4352

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
11/03/2014
Last updated
11/03/2014
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