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1558356857
BEVERLY H BULLOCK
PORTSMOUTH, VA
NPI
1558356857
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904000619)
Enumeration Date
2005-09-13
Last Update Date
2007-07-08
Business Address
-- BEVERLY H BULLOCK LCSW
3300 ACADEMY AVE ACADEMY CROSSING MEDICAL PLAZA
PORTSMOUTH, VA 23703-3205
Phone number: 757-483-6404
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Mailing Address
-- BEVERLY H BULLOCK LCSW
3300 ACADEMY AVE ACADEMY CROSSING MEDICAL PLAZA
PORTSMOUTH, VA 23703-3205
Phone number: 757-483-6404
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