Individual
COLLEEN KAY BULAU - OVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
47205 336TH ST, GAYLORD, MN 55334-2241
(507) 327-4064
(507) 237-2647
Mailing address
47205 336TH ST, GAYLORD, MN 55334-2241
(507) 327-4064
(507) 237-2647
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17672
MN
Other
Enumeration date
04/02/2008
Last updated
04/02/2008
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