KYLE BULLOCK

CHICAGO, IL
NPI1902189806
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149.022014)
Enumeration Date2011-09-27
Last Update Date2020-05-02
Business Address
KYLE BULLOCK LCSW
405 N WABASH AVE UNIT 1207
CHICAGO, IL 60611-5656
Phone number: 562-400-3838
Mailing Address
KYLE BULLOCK LCSW
405 N WABASH AVE UNIT 1207
CHICAGO, IL 60611-5656
Phone number: 562-400-3838
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