Individual
DR. CAROLE MARIE BULLMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D.
Contact information
Practice address
6100 NEWPORT RD STE 222, PORTAGE, MI 49002-9235
(269) 324-1248
(269) 324-1248
Mailing address
3507 WOODBRIDGE LN, PORTAGE, MI 49024-4091
(269) 323-1011
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6301003175
MI
Other
Enumeration date
11/22/2006
Last updated
07/08/2007
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