Individual
MR. DAVID ALEXANDER BULLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17320 W 12 MILE RD STE 101, SOUTHFIELD, MI 48076-2102
(734) 330-3663
(248) 557-4697
Mailing address
17320 W 12 MILE RD STE 101, SOUTHFIELD, MI 48076-2102
(734) 330-3663
(248) 557-4697
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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