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1003116443
SARAH J BULLOCK
BLOOMINGTON, IN
NPI
1003116443
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34006094A)
Enumeration Date
2010-11-02
Last Update Date
2010-11-02
Business Address
-- SARAH J BULLOCK LCSW
645 S ROGERS ST
BLOOMINGTON, IN 47403-2353
Phone number: 812-339-1691
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Mailing Address
-- SARAH J BULLOCK LCSW
645 S ROGERS ST
BLOOMINGTON, IN 47403-2353
Phone number: 812-339-1691
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