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1871997692
AMY BULLOCK
EL CENTRO, CA
NPI
1871997692
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 61927)
Enumeration Date
2014-10-22
Last Update Date
2014-10-22
Business Address
-- AMY BULLOCK LCSW
1073 ROSS AVE STE C
EL CENTRO, CA 92243-4371
Phone number: 760-540-4335
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Mailing Address
-- AMY BULLOCK LCSW
52 W PHEASANT ST
HEBER, CA 92249-9658
Phone number: 760-540-4335
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