Individual
SOPHIA BULLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
224 KAMEHAMEHA AVE # 201, HILO, HI 96720-2860
(610) 883-0135
Mailing address
3164 HOLLOW RD, MALVERN, PA 19355-8651
(610) 883-0135
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/16/2023
Last updated
02/16/2023
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