Individual
MISS JENNIFER MICHELLE BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4300 W 7TH ST, LITTLE ROCK, AR 72205-5446
(870) 575-3453
Mailing address
4300 W 7TH ST, LITTLE ROCK, AR 72205-5446
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1909-C
AR
Other
Enumeration date
08/07/2008
Last updated
08/07/2008
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