Individual
MR. MICHAEL WHIGGER MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
11709 OLD BALLAS RD STE 205, CREVE COEUR, MO 63141-7029
(314) 422-5114
Mailing address
11709 OLD BALLAS RD STE 205, CREVE COEUR, MO 63141-7029
(314) 422-5114
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2015043581
MO
Other
Enumeration date
01/30/2013
Last updated
12/17/2019
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