KEVIN DANIEL MULLOY

BLOOMINGTON, IL
NPI1134224777
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149012209)
Enumeration Date2006-09-14
Last Update Date2007-09-26
Business Address
-- KEVIN DANIEL MULLOY
108 W MARKET ST
BLOOMINGTON, IL 61701-3918
Phone number: 309-827-5351
Mailing Address
-- KEVIN DANIEL MULLOY
327 GLENN AVE UNIT #A
NORMAL, IL 61761-3648
Phone number: 309-840-2066
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