KIMBERLY ANTOINETTE BULLOCK

JAMAICA, NY
NPI1265708564
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  075392)
Enumeration Date2012-03-30
Last Update Date2012-03-30
Business Address
Ms. KIMBERLY ANTOINETTE BULLOCK lcsw
17657 132ND AVE
JAMAICA, NY 11434-5839
Phone number: 718-712-1790
Mailing Address
Ms. KIMBERLY ANTOINETTE BULLOCK lcsw
17657 132ND AVE
JAMAICA, NY 11434-5839
Phone number: 718-712-1790
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