LEWIS A BULLOCK

HATTIESBURG, MS
NPI1336371053
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MS  225797)
Enumeration Date2009-08-13
Last Update Date2009-08-13
Business Address
-- LEWIS A BULLOCK NCC
303 MARY MAGDALENE RD
HATTIESBURG, MS 39401-8196
Phone number: 601-705-1901
Mailing Address
-- LEWIS A BULLOCK NCC
303 MARY MAGDALENE RD
HATTIESBURG, MS 39401-8196
Phone number: 601-705-1901
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