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1407904097
JOELLA M BULLOCK
THE DALLES, OR
NPI
1407904097
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L2156)
Enumeration Date
2007-01-08
Last Update Date
2007-07-09
Business Address
-- JOELLA M BULLOCK LCSW
419 E 7TH ST ROOM 207
THE DALLES, OR 97058-2676
Phone number: 541-296-5452
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Mailing Address
-- JOELLA M BULLOCK LCSW
419 E 7TH ST ROOM 207
THE DALLES, OR 97058-2676
Phone number: 541-296-5452
Copy
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