Individual
ANGELA BROWN BULLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
51 S MAIN AVE STE 304, CLEARWATER, FL 33765-3937
(727) 328-4672
Mailing address
51 S MAIN AVE STE 304, CLEARWATER, FL 33765-3937
(727) 328-4672
(727) 287-9302
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW10862
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004130800
—
FL
Enumeration date
03/13/2007
Last updated
02/03/2022
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