Individual
SHIRRON DOBIE BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
255 E SOUTH BLVD, PETERSBURG, VA 23805
(804) 732-0510
Mailing address
1653 DARBY DR, PETERSBURG, VA 23803-5331
(757) 814-1808
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202004252
VA
Other
Enumeration date
01/29/2008
Last updated
08/28/2018
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