Individual
KIERA BULFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRC
Contact information
Practice address
370 JAMES ST STE 306, NEW HAVEN, CT 06513-3091
(203) 974-3017
Mailing address
121 WOOSTER ST FL 3, NEW HAVEN, CT 06511-5720
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
111268
IL
Other
Enumeration date
10/22/2019
Last updated
10/22/2019
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