Individual
BRUCE ULLERUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
14 HORSESHOE TRAIL, BARNARDSVILLE, NC 28709
(828) 253-0643
(828) 225-2531
Mailing address
PO BOX 1030, MARS HILL, NC 28754-1030
(828) 253-0643
(828) 225-2531
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C003071
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12945
BCBS
NC
05
—
6002090
—
NC
Enumeration date
01/17/2007
Last updated
07/08/2007
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