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Individual

BONNIE M BULLARD

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
460 W MAIN ST, HYANNIS, MA 02601-3653
(508) 790-3360
(508) 790-3378
Mailing address
460 W MAIN ST, HYANNIS, MA 02601-3653
(508) 790-3360
(508) 790-3378

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
79
MA

Other

Enumeration date
05/25/2006
Last updated
07/08/2007
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