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NPI Code Detail

MEDICARE: MRS. LAURA ANN MULLIKIN LCSW

MEDICARE:  MRS. LAURA ANN MULLIKIN  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker
21041C0700XClinical Social Worker149.023337IL

General Provider Information

NPI Number : 1396483855
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LAURA ANN MULLIKIN LCSW
Provider Business Mailing Address
First Line : 3248 MONTLAKE DR
Second Line :
City : ROCKFORD
State : IL
Zip : 61114-5517
Country : US
Telephone Number : 815-668-1512
Fax Number :
Provider Business Practice Location Address
First Line : 6735 VISTAGREEN WAY STE 210
Second Line :
City : ROCKFORD
State : IL
Zip : 61107-5654
Country : US
Telephone Number : 815-391-3055
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2022
Last Update Date : 04/21/2023

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