Individual
MS. GLENDA BULLOCK-WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
6201 GREENBELT RD, SUITE U4, BERWYN HEIGHTS, MD 20740-2354
(301) 832-6295
Mailing address
9715 LURIA LN, LANHAM, MD 20706-3311
(301) 832-6295
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC3872
MD
Other
Enumeration date
11/01/2013
Last updated
11/01/2013
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