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1801224795
KACY MULLEN
WHITE CITY, OR
NPI
1801224795
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: OR 2457)
Enumeration Date
2013-10-31
Last Update Date
2018-07-13
Business Address
Dr. KACY MULLEN Ph.D.
8495 CRATER LAKE HWY
WHITE CITY, OR 97503
Phone number: 541-826-2111
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Mailing Address
Dr. KACY MULLEN Ph.D.
17650 HIGHWAY 238
GRANTS PASS, OR 97527-8616
Phone number: 972-623-8470
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