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Thallissia Muldrow
Mental Health Counselor in Gary, Indiana
NPI 1609282979

Thallissia Muldrow is a Mental Health Counselor based in Chicago, IN and is specialized in Mental Health. Thallissia Muldrow practices in Gary, IN. The NPI Number for Thallissia Muldrow is 1609282979 and holds a License No. (Indiana).

The current practice location address for Thallissia Muldrow is 1100 W 6Th Ave, Gary, IN and can be reached out via phone at 219-885-4264.

Location: 1100 W 6Th Ave, Gary, IN, 60628-2841
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609282979
Provider Name
Thallissia Muldrow
Credential
Provider Entity Type
Individual
Gender
Female
Address
1100 W 6Th Ave, Gary, IN, 60628-2841
Phone Number
219-885-4264
Fax Number
Provider Enumeration Date
07/08/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1100 W 6Th Ave
City
Gary
State
Indiana
Zip
46402-1711
Phone Number
219-885-4264
Fax Number
person
Provider Business Mailing Address Details
Address
1100 W 6Th Ave
City
Gary
State
Indiana
Zip
46402-1711
Phone Number
219-885-4264
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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