Provider Demographics
NPI:1477840007
Name:MULE, IRIS (MSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:IRIS
Middle Name:
Last Name:MULE
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 65TH ST
Mailing Address - Street 2:24B
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-4948
Mailing Address - Country:US
Mailing Address - Phone:718-644-6994
Mailing Address - Fax:
Practice Address - Street 1:350 65TH ST
Practice Address - Street 2:APARTMENT 24B
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-4948
Practice Address - Country:US
Practice Address - Phone:718-644-6994
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-04
Last Update Date:2011-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR025053-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical