Individual
ANA K BULNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
16782 SW 88TH ST # 344, MIAMI, FL 33196-5934
(802) 557-1065
Mailing address
16782 SW 88TH ST # 344, MIAMI, FL 33196-5934
(802) 557-1065
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0890001176
VT
1041C0700X
Clinical Social Worker
106311
TX
1041C0700X
Clinical Social Worker
124193
MA
1041C0700X
Clinical Social Worker
LC21520
ME
1041C0700X
Clinical Social Worker
Primary
SW18148
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0890001176
VERMONT STATE LICENSE
VT
01
—
106311
TX STATE LCSW
TX
01
—
124193
MA STATE LICSW
MA
01
—
LC21520
ME STATE LCSW
ME
01
—
SW18148
FL STATE LCSW
FL
Enumeration date
11/01/2007
Last updated
06/21/2023
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