STACEY BULLOCK

KENNESAW, GA
NPI1922239532
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: GA  SLP006129)
Enumeration Date2009-07-30
Last Update Date2009-07-30
Business Address
Mrs. STACEY BULLOCK SLP
5150 STILESBORO RD NW STE 410
KENNESAW, GA 30152-7759
Phone number: 770-218-2300
Mailing Address
Mrs. STACEY BULLOCK SLP
5731 STONEKIRK WALK NW
ACWORTH, GA 30101-6920
Phone number: 770-975-8369
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