DEIDRA BULLOCK

GREENWOOD, MS
NPI1215402300
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2018-10-04
Last Update Date2018-10-04
Business Address
DEIDRA BULLOCK
2504 BROWNING ROAD 520
GREENWOOD, MS 38930-6022
Phone number: 662-453-6211
Mailing Address
DEIDRA BULLOCK
2504 BROWNING ROAD 520
GREENWOOD, MS 38930-6022
Phone number: 662-453-6211
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