DERRICK MULLINS

LOUISVILLE, KY
NPI1639636038
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-02-22
Last Update Date2019-02-22
Business Address
DERRICK MULLINS
1700 CARGO CT
LOUISVILLE, KY 40299-1938
Phone number: 502-749-6764
Mailing Address
DERRICK MULLINS
1700 CARGO CT
LOUISVILLE, KY 40299-1938
Phone number: 502-749-6764
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