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1093558488
CANDICE BULLOCK
RICHMOND, VA
NPI
1093558488
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904015833)
Enumeration Date
2024-06-14
Last Update Date
2024-06-14
Business Address
CANDICE BULLOCK LMSW, LCSW
107 S 5TH ST
RICHMOND, VA 23219-3825
Phone number: 804-637-2569
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Mailing Address
CANDICE BULLOCK LMSW, LCSW
107 S 5TH ST
RICHMOND, VA 23219-3825
Phone number: 804-637-2569
Copy
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