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1346868783
WALTER J BULLOCK
PHILADELPHIA, PA
NPI
1346868783
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-07-13
Last Update Date
2020-07-13
Business Address
WALTER J BULLOCK MS
1831 WAKELING ST
PHILADELPHIA, PA 19124-2855
Phone number: 267-403-7906
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Mailing Address
WALTER J BULLOCK MS
1831 WAKELING ST
PHILADELPHIA, PA 19124-2855
Phone number: 267-403-7906
Copy
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