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1932739638
MARY BLAKE BULLA
SUNRISE, FL
NPI
1932739638
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL 17676)
Enumeration Date
2020-01-22
Last Update Date
2020-01-22
Business Address
MARY BLAKE BULLA LMHC
240 RIVERWALK CIR
SUNRISE, FL 33326-2291
Phone number: 954-770-1175
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Mailing Address
MARY BLAKE BULLA LMHC
240 RIVERWALK CIR
SUNRISE, FL 33326-2291
Phone number: 954-770-1175
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