DEMITRIUS TARRO BULLOCK

WILMINGTON, DE
NPI1427222801
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2008-04-17
Last Update Date2008-04-17
Business Address
-- DEMITRIUS TARRO BULLOCK
2814 LANCASTER AVE
WILMINGTON, DE 19805-5225
Phone number: 302-655-9880
Mailing Address
-- DEMITRIUS TARRO BULLOCK
2814 LANCASTER AVE
WILMINGTON, DE 19805-5225
Phone number: 302-655-9880
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