Doctor Name: | MS. JULIANNE S BULAU |
NPI Number: | 1205914488 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW LICSW |
License Number: | 14267 |
Business Practice Address: | 203 W Clark St Freeborn County Mental Health Center Albert Lea, MN - 56007 |
Business Phone Number: | 5073775400 |
Business Fax Number: | 5073775505 |
Mailing Address: | 1923 Wilby Rd, ALBERT LEA |
State: | MN |
Postal Code: | 56007 |
Phone Number: | 5073775446 |
Fax Number: | 5073775505 |
NPI Enumeration Date: | 11/02/2006 |
NPI Last Update Date: | 01/13/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 14267 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |