Individual
ROBERT MICHAEL BULLOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
707 24TH ST STE 1A, OGDEN, UT 84401-2580
(801) 940-4025
Mailing address
PO BOX 104, EDEN, UT 84310-0104
(801) 940-4025
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
140896-3501
UT
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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