Traci Diane Mullen, LCSW

NPI #1386329811 in Moore, Oklahoma

Provider Information

NPI Number
1386329811
Entity Type
Individual
Name
Traci Diane Mullen, LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Jun 21, 2023
Last Updated
Jun 21, 2023

Practice Location

Address
2529 SE 13TH ST
City
Moore
ZIP Code
73160-8424
Phone
(405) 203-1424

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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