Individual
JASMINE LA'TESE BULLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
26300 OUTER DR, LINCOLN PARK, MI 48146-2019
(313) 388-4630
Mailing address
11173 LILLIAN AVE, WARREN, MI 48089-3570
(586) 744-0091
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801096690
MI
1041C0700X
Clinical Social Worker
6801096690
MI
Other
Enumeration date
02/01/2019
Last updated
08/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us