Mullen, Debra A

Mullen, Debra A is an individual health care provider with primary practice located at 1557 Cleveland Ave , Marinette WI 54143-3920. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Mullen, Debra A can be contacted via phone (715) 732-6868.

Contact Information

Primary practice address
1557 Cleveland Ave Marinette WI 54143-3920
Phone: (715) 732-6868
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 4253-123 Wisconsin

Profile Details

NPI number 1770660342
LBN Legal business name Mullen, Debra A
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated May 13th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770660342 NPPES
Wisconsin MEDICAID 40997200

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