THERESA ALICE BULLOCK

INDIANAPOLIS, IN
NPI1023381613
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: IN  34008388A)
Enumeration Date2012-02-14
Last Update Date2020-03-23
Business Address
MS. THERESA ALICE BULLOCK M.S.W.
526 N ORIENTAL ST
INDIANAPOLIS, IN 46202-3559
Phone number: 336-414-2508
Mailing Address
MS. THERESA ALICE BULLOCK M.S.W.
526 N ORIENTAL ST
INDIANAPOLIS, IN 46202-3559
Phone number: 336-414-2508
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