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Marie Mildred Mulligan
Peer Specialist in Gloversville, New York
NPI 1720553407

Marie Mildred Mulligan is a Peer Specialist based in Gloversville, NY. Marie Mildred Mulligan practices in Gloversville, NY. The NPI Number for Marie Mildred Mulligan is 1720553407 and holds a License No. (New York).

The current practice location address for Marie Mildred Mulligan is 11-21 Broadway St, Gloversville, NY and can be reached out via phone at 518-725-4310.

Location: 11-21 Broadway St, Gloversville, NY, 12078-3968
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720553407
Provider Name
Marie Mildred Mulligan
Credential
Provider Entity Type
Individual
Gender
Female
Address
11-21 Broadway St, Gloversville, NY, 12078-3968
Phone Number
518-725-4310
Fax Number
Provider Enumeration Date
10/09/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11-21 Broadway St
City
Gloversville
State
New York
Zip
12078-3968
Phone Number
518-725-4310
Fax Number
person
Provider Business Mailing Address Details
Address
11-21 Broadway St
City
Gloversville
State
New York
Zip
12078-3968
Phone Number
518-725-4310
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
(New York)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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