KEVIN ANTONIO BULLARD

LUMBERTON, NC
NPI1235972191
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2024-06-17
Last Update Date2024-06-17
Business Address
KEVIN ANTONIO BULLARD
851 JANE ST
LUMBERTON, NC 28358-5044
Phone number: 910-258-1417
Mailing Address
KEVIN ANTONIO BULLARD
851 JANE ST
LUMBERTON, NC 28358-5044
Phone number: 910-258-1417
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