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1336545094
CARA STALEY BULLOCK
FREDERICKSBURG, VA
NPI
1336545094
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: VA 2202004983)
Enumeration Date
2014-11-07
Last Update Date
2019-07-24
Business Address
CARA STALEY BULLOCK SLP
600 JACKSON ST
FREDERICKSBURG, VA 22401-5719
Phone number: 540-373-3223
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Mailing Address
CARA STALEY BULLOCK SLP
11801 BERWICK CT
FREDERICKSBURG, VA 22408-1871
Phone number: 540-710-6865
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