Individual
MRS. ANITA BULLOCK-MORLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
1892 HOSEA L WILLIAMS DR NE, ATLANTA, GA 30317-2239
(404) 720-4278
Mailing address
1892 HOSEA L WILLIAMS DRIVE NE, ATLANTA, GA 30317-2509
(404) 720-4278
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
005096
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000918255B
—
GA
Enumeration date
12/12/2006
Last updated
09/28/2012
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