Individual
DOMINIQUE BULLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23419 SW 127TH PL, HOMESTEAD, FL 33032-9215
(305) 609-1470
Mailing address
23419 SW 127TH PL, HOMESTEAD, FL 33032-9215
(305) 609-1470
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW25515
FL
Other
Enumeration date
02/16/2026
Last updated
02/20/2026
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