Individual
VIRGINIA BULLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
204 W HILL BLVD, JOINT BASE CHARLESTON, SC 29404-4704
(843) 963-6880
Mailing address
204 W HILL BLVD, JOINT BASE CHARLESTON, SC 29404-4704
(843) 963-6880
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12747
SC
Other
Enumeration date
05/12/2011
Last updated
03/04/2024
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