Individual
GWENDOLYN BULLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1820 MEMORIAL CIR, CLARKSVILLE, TN 37043-4539
(931) 920-7300
Mailing address
2657 ARTHURS CT, CLARKSVILLE, TN 37040-5164
(757) 880-3494
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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