JEFFERSON LEE BULLARD

PHILADELPHIA, PA
NPI1760908586
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: PA  CW019448)
Enumeration Date2017-08-15
Last Update Date2017-08-15
Business Address
JEFFERSON LEE BULLARD LCSW
1348 BAINBRIDGE ST
PHILADELPHIA, PA 19147-1810
Phone number: 215-563-0652
Mailing Address
JEFFERSON LEE BULLARD LCSW
1141 TITAN ST
PHILADELPHIA, PA 19147-5001
Phone number: 215-205-1004
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