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1063545978
LESLIE ELLEN BULLOCK
FRESNO, CA
NPI
1063545978
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS 23296)
Enumeration Date
2007-03-13
Last Update Date
2007-09-28
Business Address
Ms. LESLIE ELLEN BULLOCK MSW, LCSW
5464 N PALM AVE STE B
FRESNO, CA 93704-1946
Phone number: 559-908-0925
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Mailing Address
Ms. LESLIE ELLEN BULLOCK MSW, LCSW
4619 N SAFFORD AVE
FRESNO, CA 93704-2920
Phone number: 559-224-7674
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