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Individual

DA'TWANYA BULLOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
405 PARKWAY ST STE A, GREENSBORO, NC 27401-1693
(919) 985-0510
Mailing address
6220 THERMAL RD, CHARLOTTE, NC 28211-5630
(704) 366-8712

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
09/22/2022
Last updated
09/22/2022
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