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1023381613
THERESA ALICE BULLOCK
INDIANAPOLIS, IN
NPI
1023381613
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34008388A)
Enumeration Date
2012-02-14
Last Update Date
2020-03-23
Business 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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Mailing Address
Ms. THERESA ALICE BULLOCK M.S.W.
526 N ORIENTAL ST
INDIANAPOLIS, IN 46202-3559
Phone number: 336-414-2508
Copy
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