Individual
DESHONDA BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9330 59TH AVE SW, LAKEWOOD, WA 98499-2858
(253) 620-5015
Mailing address
9330 59TH AVE SW, LAKEWOOD, WA 98499-2858
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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