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Individual

MS. SUE ELLEN KASLAR BULLOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
985 NINTH AVE SW, SUITE 201, BESSEMER, AL 35022-4500
(205) 425-6395
(205) 481-8558
Mailing address
1647 RIDERWOOD TRAIL, BIRMINGHAM, AL 35214
(205) 798-9007

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
04961365C
AL

Other

Enumeration date
11/24/2006
Last updated
07/08/2007
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