Individual
MRS. LAURA TERESE BULLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
3020 14TH ST NW, WASHINGTON, DC 20009-6865
(202) 469-4699
Mailing address
3020 14TH ST NW, WASHINGTON, DC 20009-6865
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LG50078897
DC
Other
Enumeration date
03/16/2022
Last updated
03/16/2022
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