MICAH J BULLOCH

CEDAR CITY, UT
NPI1679082952
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2017-09-29
Last Update Date2017-09-29
Business Address
MICAH J BULLOCH SSW
245 E 680 S
CEDAR CITY, UT 84720-3593
Phone number: 435-867-7654
Mailing Address
MICAH J BULLOCH SSW
474 W 200 N
ST GEORGE, UT 84770-4505
Phone number: 435-634-5600
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