Individual
CHERYL LYNN BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
102 DAVIS LN, WEATHERFORD, TX 76088-8203
(940) 682-8608
Mailing address
102 DAVIS LN, WEATHERFORD, TX 76088-8203
(940) 682-8608
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
64775
TX
Other
Enumeration date
04/06/2011
Last updated
04/06/2011
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