IRENE ERVIN BULLOCK

RICHMOND, VA
NPI1922786268
Former NameIRENE ELIZABETH ERVIN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: VA  0904014900)
Enumeration Date2023-07-07
Last Update Date2024-03-27
Business Address
IRENE ERVIN BULLOCK LCSW
1600 WESTBROOK AVE STE 134
RICHMOND, VA 23227-3326
Phone number: 804-292-3500
Mailing Address
IRENE ERVIN BULLOCK LCSW
7331 RIVENDELL TER
NORTH CHESTERFIELD, VA 23234-5970
Phone number: 804-497-9518
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