| NPI | 1124120670 |
|---|---|
| Other Name | KATHRYN BULTMAN |
| Entity Type | Organization |
| Authorized Contact | KATHRYN BULTMAN Clinical Social Worker 616-460-1857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801082187) |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2020-08-22 |