AMANDA BULLOCK

CHEYENNE, WY
NPI1043850811
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WY  PPC-1166)
Enumeration Date2020-01-09
Last Update Date2020-01-09
Business Address
AMANDA BULLOCK
2005 WARREN AVE
CHEYENNE, WY 82001-3725
Phone number: 307-426-4855
Mailing Address
AMANDA BULLOCK
7308 LEGACY PKWY
CHEYENNE, WY 82009-8392
Phone number: 307-272-7743
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