Individual
REBECCA SUE BULLMAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
FAIRBANKS COUNSELING AND ADOPTION, 912 BARNETTE STREET, FAIRBANKS, AK 99709
(907) 456-4729
Mailing address
3875 GEIST RD, SUITE E 304, FAIRBANKS, AK 99709-3549
(907) 479-7657
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
AA213
AK
Other
Enumeration date
03/14/2006
Last updated
07/08/2007
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