Individual
ANNA ELIZABETH BULLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-7001
(859) 323-3459
Mailing address
DEPARTMENT OF PEDIATRICS, 138 LEADER AVE, LEXINGTON, KY 40508
(859) 323-3459
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
253368
KY
Other
Enumeration date
07/30/2019
Last updated
07/30/2019
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