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1245900034
BRIYANNA BULLOCK
EVANSTON, IL
NPI
1245900034
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 178017357)
Enumeration Date
2021-09-14
Last Update Date
2021-09-14
Business Address
BRIYANNA BULLOCK M.Ed, LPC
636 CHURCH ST STE 619
EVANSTON, IL 60201-4586
Phone number: 847-864-0600
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Mailing Address
BRIYANNA BULLOCK M.Ed, LPC
4555 N SHERIDAN RD APT 407
CHICAGO, IL 60640-1533
Phone number:
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