Theresa Alice Bullock M.S.W.

NPI 1023381613 - Social Worker - 1041C0700X

NPI Details
NPI 1023381613
Gender Female
Enumeration Date 02/14/2012
Last Updated 02/14/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
1200 S BROAD ST
WINSTON SALEM NC, 27101-5760, US
Phone (336) 722-8173
Fax (336) 724-6491
Business Location
1200 S BROAD ST
WINSTON SALEM NC, 27101-5760, US
Phone (336) 722-8173
Fax (336) 724-6491
Toxanomy
Taxonomy Code 1041C0700X
License State North Carolina
License Number C007639
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According to our database, Ms. Theresa Alice Bullock M.S.W. NPI is 1023381613, taxonomy code is 1041C0700X and license number is C007639, license state is located at North Carolina. Theresa Alice Bullock M.S.W. physically located at 1200 S Broad St, Winston Salem NC, 27101-5760. NPI Number Theresa Alice Bullock M.S.W. has the Individual type.

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1023381613 NPI number is provided on an as is basis without warranty of any kind. 1023381613 is maintained by the National Plan & Provider Enumeration System. The contents of Theresa Alice Bullock M.S.W. are for informational purposes only.