SHANE D MULLEN

GRAND ISLAND, NE
NPI1679386486
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NE  P-2248)
Enumeration Date2025-01-28
Last Update Date2025-01-28
Business Address
SHANE D MULLEN
2112 W FAIDLEY AVE
GRAND ISLAND, NE 68803-4670
Phone number: 308-398-5427
Mailing Address
SHANE D MULLEN
1342 N BALTIMORE AVE
HASTINGS, NE 68901-2919
Phone number: 402-831-0009
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