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1679006464
PAUL BULTMAN
HICKSVILLE, NY
NPI
1679006464
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY R051334-1)
Enumeration Date
2017-04-07
Last Update Date
2017-04-07
Business Address
-- PAUL BULTMAN LCSW-R
3 DIKEMAN CT
HICKSVILLE, NY 11801-3711
Phone number: 516-458-6528
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Mailing Address
-- PAUL BULTMAN LCSW-R
3 DIKEMAN CT
HICKSVILLE, NY 11801-3711
Phone number: 516-458-6528
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