# SUSAN H. BULLARD, LISW-CP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760923551
- **Authorized official:** SUSAN H BULLARD LISW-CP (CLINICAL SOCIAL WORKER)
- **Authorized official phone:** (803) 599-8869

## Contact information

- **Practice address:** 1624 EBENEZER RD, ROCK HILL, SC 29732-1809
- **Practice address phone:** (803) 599-8869
- **Mailing address:** PO BOX 746, FORT MILL, SC 29716-0746
- **Mailing address phone:** (803) 599-8869

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 8752 | SC | Yes |

## Other

- **Enumeration date:** 03/14/2017
- **Last updated:** 04/28/2017