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1114066891
DONNA BULLOCK
MONROE, LA
NPI
1114066891
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2007-02-06
Last Update Date
2007-07-08
Business Address
MS. DONNA BULLOCK
4800 S GRAND ST
MONROE, LA 71202-6412
Phone number: 318-362-3339
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Mailing Address
MS. DONNA BULLOCK
4800 S GRAND ST
MONROE, LA 71202-6412
Phone number: 318-362-3339
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