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1366165599
DA'TWANYA BULLOCK
GREENSBORO, NC
NPI
1366165599
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2022-09-22
Last Update Date
2022-09-22
Business Address
DA'TWANYA BULLOCK
405 PARKWAY ST STE A
GREENSBORO, NC 27401-1693
Phone number: 919-985-0510
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Mailing Address
DA'TWANYA BULLOCK
6220 THERMAL RD
CHARLOTTE, NC 28211-5630
Phone number: 704-366-8712
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