Individual
LINDA A BULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8461 LAKE WORTH RD, SUITE 125, LAKE WORTH, FL 33467-2474
(561) 533-3903
(561) 244-5149
Mailing address
8461 LAKE WORTH RD, SUITE 125, LAKE WORTH, FL 33467-2474
(561) 533-3903
(561) 244-5149
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW0001697
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z5582
BLUECROSSBLUESHIELD
FL
Enumeration date
11/03/2006
Last updated
07/08/2007
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