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1154078657
ASHLEY BULLOCK
DAYTON, OH
NPI
1154078657
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.179536)
Enumeration Date
2022-03-04
Last Update Date
2022-03-04
Business Address
ASHLEY BULLOCK
4977 NORTHCUTT PL
DAYTON, OH 45414-3839
Phone number: 937-387-6395
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Mailing Address
ASHLEY BULLOCK
509 XENIA AVE
DAYTON, OH 45410-1823
Phone number:
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