MARY BLAKE BULLA

SUNRISE, FL
NPI1932739638
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  17676)
Enumeration Date2020-01-22
Last Update Date2020-01-22
Business Address
MARY BLAKE BULLA LMHC
240 RIVERWALK CIR
SUNRISE, FL 33326-2291
Phone number: 954-770-1175
Mailing Address
MARY BLAKE BULLA LMHC
240 RIVERWALK CIR
SUNRISE, FL 33326-2291
Phone number: 954-770-1175
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