Individual
MARGARET BULLERJAHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
118 COLLEGE DR, HATTIESBURG, MS 39406-0002
(419) 494-9347
Mailing address
401 GRESHAM DR FL 9, NORFOLK, VA 23507
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810008710
VA
Other
Enumeration date
07/18/2022
Last updated
11/05/2024
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