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1992093215
SONJA P BULLOCK
JACKSON, MS
NPI
1992093215
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MS C4937)
Enumeration Date
2011-07-20
Last Update Date
2011-07-20
Business Address
-- SONJA P BULLOCK LCSW
508 CEDARWOOD DR
JACKSON, MS 39212-2220
Phone number: 601-214-8157
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Mailing Address
-- SONJA P BULLOCK LCSW
508 CEDARWOOD DR
JACKSON, MS 39212-2220
Phone number: 601-214-8157
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