Individual
MRS. KARLA BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1015 GAMMON LN, MADISON, WI 53719-2210
(608) 417-8132
Mailing address
1015 GAMMON LN, MADISON, WI 53719-2210
(608) 417-8132
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11523-123
WI
1041C0700X
Clinical Social Worker
11523123
WI
1041C0700X
Clinical Social Worker
—
WI
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
01/15/2025
Last updated
01/15/2025
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