BEVERLY H BULLOCK

PORTSMOUTH, VA
NPI1558356857
Entity TypeIndividual
GenderFemale
Sole Proprietor ?
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: VA  0904000619)
Enumeration Date2005-09-13
Last Update Date2007-07-08
Business Address
BEVERLY H BULLOCK LCSW
3300 ACADEMY AVE ACADEMY CROSSING MEDICAL PLAZA
PORTSMOUTH, VA 23703-3205
Phone number: 757-483-6404
Mailing Address
BEVERLY H BULLOCK LCSW
3300 ACADEMY AVE ACADEMY CROSSING MEDICAL PLAZA
PORTSMOUTH, VA 23703-3205
Phone number: 757-483-6404