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1245863422
AMY CORRINE BULLARD
LONG BEACH, CA
NPI
1245863422
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA C036011015)
Enumeration Date
2020-02-17
Last Update Date
2020-02-17
Business Address
AMY CORRINE BULLARD
2120 W WILLIAMS ST STE 1
LONG BEACH, CA 90810-3617
Phone number: 562-388-8118
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Mailing Address
AMY CORRINE BULLARD
2120 W WILLIAMS ST STE 1
LONG BEACH, CA 90810-3617
Phone number:
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