TENECIA BULLOCK

VICKSBURG, MS
NPI1932408382
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2011-03-24
Last Update Date2011-03-24
Business Address
-- TENECIA BULLOCK
3334 WISCONSIN AVENUE WARREN-YAZOO MENTAL HEALTH SERVICES
VICKSBURG, MS 39180-2067
Phone number: 601-638-0031
Mailing Address
-- TENECIA BULLOCK
3334 WISCONSIN AVENUE WARREN-YAZOO MENTAL HEALTH SERVICES
VICKSBURG, MS 39180-2067
Phone number:
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