Individual
KAYLEE BULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1103 B BEYT RD, NEW IBERIA, LA 70560-0531
(313) 433-9593
Mailing address
22877 LAKESHORE DR, SAINT CLAIR SHORES, MI 48080-2580
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
108494
CA
Other
Enumeration date
09/07/2022
Last updated
10/02/2024
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