RODERICK CONLEY BULLOCK

CHARLOTTE, NC
NPI1932374766
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2008-04-23
Last Update Date2022-09-22
Business Address
RODERICK CONLEY BULLOCK
3104 MINTLEAF DRIVE
CHARLOTTE, NC 28269
Phone number: 704-519-8264
Mailing Address
RODERICK CONLEY BULLOCK
3104 MINTLEAF DR
CHARLOTTE, NC 28269-3069
Phone number: 704-589-1478
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