Individual
MS. DONNA BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4800 S GRAND ST, MONROE, LA 71202-6412
(318) 362-3339
(318) 362-3336
Mailing address
4800 S GRAND ST, MONROE, LA 71202-6412
(318) 362-3339
(318) 362-3336
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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