Individual
JESSAHCIA MARIE BULLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
5108 TEMPLE DR, AMARILLO, TX 79110-3131
(806) 673-3050
Mailing address
5108 TEMPLE DR, AMARILLO, TX 79110-3131
(806) 673-3050
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
113312
TX
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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