Tracey L Mullian, MSW, LICSW

NPI #1053642645 in Bonney Lake, Washington

Provider Information

NPI Number: 1053642645
Entity Type: Individual
Name: Tracey L Mullian, MSW, LICSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: MSW, LICSW
Enumeration Date: Jan 20, 2010
Last Updated: Sep 16, 2024

Practice Location

Address: 13823 197TH AVE E
City: Bonney Lake
State: Washington
ZIP Code: 98391-5234
Phone: (253) 304-7701

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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