Individual
CAROL BULLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1103 E WATROUS AVE, DES MOINES, IA 50315-3766
(515) 244-2267
Mailing address
808 5TH AVE, DES MOINES, IA 50309-1307
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00007157
IA
Other
Enumeration date
07/18/2008
Last updated
10/06/2011
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