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1184270407
THERESA BULLOCK
JERSEY CITY, NJ
NPI
1184270407
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: NY 071258)
Enumeration Date
2019-08-13
Last Update Date
2019-08-13
Business Address
THERESA BULLOCK
144 COTTONWOOD ST
JERSEY CITY, NJ 07305-4864
Phone number: 201-344-5408
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Mailing Address
THERESA BULLOCK
144 COTTONWOOD ST
JERSEY CITY, NJ 07305-4864
Phone number:
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