KRISTEN BULL
Individual Provider (NPI-1)
Active
Social Worker
Provider Information
- NPI Number
1497682157- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 202 S STEPHENSON ST, EAGLE, ID, 836164542
- Phone
- (208) 949-6931
Specialties & Taxonomies
Social Worker
Primary License: ID