Individual
DOREEN L MULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
65 DUKE ST # 203, PRINCE FREDERICK, MD 20678-6128
(240) 237-8716
Mailing address
PO BOX 763, PRINCE FREDERICK, MD 20678-0763
(240) 237-8716
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
24195
MD
Other
Enumeration date
09/03/2020
Last updated
09/03/2020
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