Individual
ALEXIS MCMULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
815 37TH AVE S, MOORHEAD, MN 56560-5524
(701) 451-4811
Mailing address
PO BOX 9859, FARGO, ND 58106-9859
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2109
MN
Other
Enumeration date
12/13/2011
Last updated
02/17/2020
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