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1831110568
PATRICIA ANN BULLICK
COEUR D ALENE, ID
NPI
1831110568
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW 26166)
Enumeration Date
2006-07-21
Last Update Date
2013-03-27
Business Address
-- PATRICIA ANN BULLICK
1686 W RIVERSTONE DR
COEUR D ALENE, ID 83814-6051
Phone number: 208-765-4795
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Mailing Address
-- PATRICIA ANN BULLICK
PO BOX 478
COEUR D ALENE, ID 83816-0478
Phone number: 208-765-4795
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