TAKIA L BULLOCK

LAUDERDALE LAKES, FL
NPI1871897108
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2010-12-30
Last Update Date2011-04-27
Business Address
Ms. TAKIA L BULLOCK MSW
3500 N STATE ROAD 7
LAUDERDALE LAKES, FL 33319-5600
Phone number: 305-491-6104
Mailing Address
Ms. TAKIA L BULLOCK MSW
4040 NW 185TH ST
MIAMI GARDENS, FL 33055-2841
Phone number: 305-491-6104
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