Individual
ABIGAIL PHELAN MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
822 S CLEARVIEW PKWY, HARAHAN, LA 70123-3401
(402) 850-7917
Mailing address
822 S CLEARVIEW PKWY, HARAHAN, LA 70123-3401
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
17492
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1701033
—
LA
Enumeration date
11/09/2023
Last updated
11/09/2023
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