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1073223665
LIAMARA BULLOCK
LONGVIEW, WA
NPI
1073223665
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: WA 61377319)
Additional Taxonomies
175T00000X Peer Specialist
Enumeration Date
2022-12-05
Last Update Date
2022-12-05
Business Address
LIAMARA BULLOCK
1400 COMMERCE AVE
LONGVIEW, WA 98632-3756
Phone number: 360-998-2047
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Mailing Address
LIAMARA BULLOCK
PO BOX 2394
LONGVIEW, WA 98632-8455
Phone number: 360-200-5419
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