Individual
STORMY LEE BULLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
7010 S YALE AVE, TULSA, OK 74136-5713
(918) 492-2554
Mailing address
7010 S YALE AVE, TULSA, OK 74136-5713
(918) 492-2554
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/26/2016
Last updated
02/26/2016
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