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Individual

MARCELLA BULGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2755 N PINE GROVE AVE, CHICAGO, IL 60614-6109
(248) 563-0259
Mailing address
2755 N PINE GROVE AVE, CHICAGO, IL 60614-6109
(312) 259-2665

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
06/06/2022
Last updated
06/06/2022
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