SHANNON LOUELLA BULLOCK

NEW ORLEANS, LA
NPI1417450420
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2018-03-15
Last Update Date2018-06-16
Business Address
SHANNON LOUELLA BULLOCK
10711 VIENNA ST
NEW ORLEANS, LA 70127
Phone number: 504-813-4616
Mailing Address
SHANNON LOUELLA BULLOCK
10711 VIENNA ST
NEW ORLEANS, LA 70127-3117
Phone number: 504-813-4616
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