Individual
SAMUEL BULLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1817 BOUNDARY ST, BEAUFORT, SC 29902-3951
(814) 273-9390
Mailing address
1817 BOUNDARY ST, BEAUFORT, SC 29902-3951
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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