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1265708564
KIMBERLY ANTOINETTE BULLOCK
JAMAICA, NY
NPI
1265708564
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 075392)
Enumeration Date
2012-03-30
Last Update Date
2012-03-30
Business Address
Ms. KIMBERLY ANTOINETTE BULLOCK lcsw
17657 132ND AVE
JAMAICA, NY 11434-5839
Phone number: 718-712-1790
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Mailing Address
Ms. KIMBERLY ANTOINETTE BULLOCK lcsw
17657 132ND AVE
JAMAICA, NY 11434-5839
Phone number: 718-712-1790
Copy
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