Individual
MELANIE RENEE BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1775 SPRING CREEK DR, BILLINGS, MT 59102-6754
(406) 373-3565
Mailing address
PO BOX 23003, BILLINGS, MT 59104-3003
(406) 200-5030
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-44358
MT
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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