Provider Demographics
NPI:1780997916
Name:BULSON, KAREN (LISW)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:
Last Name:BULSON
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:
Other - Last Name:KEYSER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:299 PICKETT MILL BLVD
Mailing Address - Street 2:
Mailing Address - City:BLUFFTON
Mailing Address - State:SC
Mailing Address - Zip Code:29909-7817
Mailing Address - Country:US
Mailing Address - Phone:843-368-4596
Mailing Address - Fax:
Practice Address - Street 1:299 PICKETT MILL BLVD
Practice Address - Street 2:
Practice Address - City:BLUFFTON
Practice Address - State:SC
Practice Address - Zip Code:29909-7817
Practice Address - Country:US
Practice Address - Phone:843-368-4596
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-16
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC95141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical