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1619664109
ANGELIQUE BULLOCK
RALEIGH, NC
NPI
1619664109
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC P019212)
Enumeration Date
2023-04-24
Last Update Date
2023-06-28
Business Address
ANGELIQUE BULLOCK
1011 ROCK QUARRY RD
RALEIGH, NC 27610-3825
Phone number: 919-833-3111
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Mailing Address
ANGELIQUE BULLOCK
104 ALAVERDE WAY
GARNER, NC 27529-6211
Phone number: 919-696-8923
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