Individual
MRS. ELIZABETH WALT BULMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1601 S STATE ST, SUITE 100, EDMOND, OK 73013-3626
(832) 298-1763
(405) 378-0149
Mailing address
1601 S STATE ST, SUITE 100, EDMOND, OK 73013-3626
(832) 298-1763
(405) 378-0149
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5120
OK
Other
Enumeration date
04/18/2008
Last updated
12/09/2015
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