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1053576025
CAROL BULLARD
DES MOINES, IA
NPI
1053576025
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IA 00007157)
Enumeration Date
2008-07-18
Last Update Date
2011-10-06
Business Address
-- CAROL BULLARD
1103 E WATROUS AVE
DES MOINES, IA 50315-3766
Phone number: 515-244-2267
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Mailing Address
-- CAROL BULLARD
808 5TH AVE
DES MOINES, IA 50309-1307
Phone number:
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