National Provider Identifier
Destinea Domonique Mullar, LMSW
Destinea Domonique Mullar, LMSW is listed in the NPPES registry with a primary specialty of Social Worker in Hornell, NY and a listed phone number of (607) 324-2483.
Profile Overview
- NPI
- 1447803572
- Provider Type
- Individual
- Primary Specialty
- Social Worker
- Enumeration Date
- July 18, 2019
- Last Updated
- December 20, 2022
Practice Location
- 7454 Seneca RD N
- Hornell, NY 14843-9141
Phone: (607) 324-2483
Mailing Address
- 4220 State Route 417 W
- Wellsville, NY 14895-9332
Specialties
- Social Worker (104100000X)
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1447803572
- Entity Type
- Individual
- Last Name
- Mullar
- First Name
- Destinea
- Middle Name
- Domonique
- Credential
- LMSW
- Mailing Street Address
- 4220 State Route 417 W
- Mailing City
- Wellsville
- Mailing State
- NY
- Mailing ZIP Code
- 14895-9332
- Mailing Country
- US
- Mailing Phone
- (585) 593-6300
- Mailing Fax
- (585) 593-7071
- Practice Street Address
- 7454 Seneca RD N
- Practice City
- Hornell
- Practice State
- NY
- Practice ZIP Code
- 14843-9141
- Practice Country
- US
- Practice Phone
- (607) 324-2483
- Enumeration Date
- July 18, 2019
- Last Updated
- December 20, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- December 20, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Social Worker (104100000X), Clinical Social Worker (1041C0700X)