Individual
CAROLINE WOLFE BULLARD RESARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3615 NE GRAND AVE, PORTLAND, OR 97212-2104
(503) 961-3141
(503) 281-0787
Mailing address
3615 NE GRAND AVE, PORTLAND, OR 97212-2104
(503) 961-3141
(503) 281-0787
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L4321
OR
Other
Enumeration date
03/08/2010
Last updated
03/08/2010
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