Individual
EMILY JEAN BULLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6550 W EMERALD ST STE 112, BOISE, ID 83704-8780
(208) 342-6300
(208) 342-6301
Mailing address
1917 ABBOTT RD STE 101, ANCHORAGE, AK 99507-3449
(877) 840-6956
(619) 383-6701
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
18341
FL
1041C0700X
Clinical Social Worker
Primary
231795
AK
1041C0700X
Clinical Social Worker
41032
ID
Other
Enumeration date
07/16/2021
Last updated
08/12/2025
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