JOHNNY MARVIN MULLEN

WINSTON SALEM, NC
NPI1851594402
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NC  C001630)
Enumeration Date2007-06-08
Last Update Date2007-07-08
Business Address
Mr. JOHNNY MARVIN MULLEN LCSW
1080 TOMMYS LAKE RD
WINSTON SALEM, NC 27105-8605
Phone number: 336-786-7079
Mailing Address
Mr. JOHNNY MARVIN MULLEN LCSW
1080 TOMMYS LAKE RD
WINSTON SALEM, NC 27105-8605
Phone number: 336-922-2338
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