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Individual

MICHAEL JOHN MULLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LSW

Contact information

Practice address
860 WYCKOFF AVE, MAHWAH, NJ 07430-3186
(201) 485-7172
Mailing address
120 DWIGHT AVE, HILLSDALE, NJ 07642-1547
(201) 783-5758

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05981200
NJ

Other

Enumeration date
04/25/2019
Last updated
04/25/2019
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