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1821509761
JASON RAY BULLARD
MARRERO, LA
NPI
1821509761
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 12586)
Enumeration Date
2017-10-18
Last Update Date
2017-10-18
Business Address
JASON RAY BULLARD MSW, LCSW, C-SSWS
3209 JENNIFER CT
MARRERO, LA 70072-5943
Phone number: 317-726-6526
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Mailing Address
JASON RAY BULLARD MSW, LCSW, C-SSWS
3209 JENNIFER CT
MARRERO, LA 70072-5943
Phone number: 317-726-6526
Copy
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