Individual
JONNA BULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW,LCSW
Contact information
Practice address
225 N. MAIN ST., STE 5, NORTH WEBSTER, IN 46555
(574) 834-1393
(833) 527-8322
Mailing address
PO BOX 751, NORTH WEBSTER, IN 46555-0751
(574) 834-1393
(833) 527-8322
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34008756A
IN
Other
Enumeration date
03/14/2016
Last updated
01/06/2020
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