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1598152795
KELLY MULLINS
COLLEGE STATION, TX
NPI
1598152795
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 10921)
Enumeration Date
2015-04-25
Last Update Date
2015-04-25
Business Address
-- KELLY MULLINS LCDC
1509 EMERALD PKWY
COLLEGE STATION, TX 77845-5501
Phone number: 979-703-8292
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Mailing Address
-- KELLY MULLINS LCDC
1509 EMERALD PKWY
COLLEGE STATION, TX 77845-5501
Phone number: 979-703-8292
Copy
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