Individual
AMANDA BULLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
132 W MAIN ST, TERRE HILL, PA 17581
(540) 446-4784
Mailing address
PO BOX 753, TERRE HILL, PA 17581-0753
(540) 446-4784
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW140580
PA
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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