Individual
JILL BULMAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4618 E STATE BLVD STE 300, FORT WAYNE, IN 46815-6966
(260) 373-0213
(260) 373-0218
Mailing address
4618 E STATE BLVD STE 300, FORT WAYNE, IN 46815-6966
(260) 373-0213
(260) 373-0218
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34006292A
IN
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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