Individual
MRS. JENNIFER BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., ED.S
Contact information
Practice address
7550 FOREST RD, CINCINNATI, OH 45255-4307
(513) 231-3600
Mailing address
7550 FOREST RD, CINCINNATI, OH 45255-4307
(513) 231-3600
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PA1016524
OH
Other
Enumeration date
02/24/2014
Last updated
02/24/2014
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