LARRY RUBEN BULLARD

LA VERNE, CA
NPI1699116897
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CA  ASW35370)
Enumeration Date2013-07-16
Last Update Date2013-07-16
Business Address
-- LARRY RUBEN BULLARD ASW
1350 3RD ST
LA VERNE, CA 91750-5201
Phone number: 909-596-5921
Mailing Address
-- LARRY RUBEN BULLARD ASW
1350 3RD ST
LA VERNE, CA 91750-5201
Phone number: 909-596-5921
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