MARK DANA BULLOCK

HAYDEN, ID
NPI1346370277
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ID  LPC-988)
Enumeration Date2007-03-07
Last Update Date2007-07-08
Business Address
Dr. MARK DANA BULLOCK Ph.D.
6160 E HAYDEN LAKE RD
HAYDEN, ID 83835-7594
Phone number: 208-699-8044
Mailing Address
Dr. MARK DANA BULLOCK Ph.D.
6160 E HAYDEN LAKE RD
HAYDEN, ID 83835-7594
Phone number: 208-699-8044
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