Organization
SUSAN H. BULLARD, LISW-CP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN H BULLARD LISW-CP (CLINICAL SOCIAL WORKER)
(803) 599-8869
Entity
Organization
Contact information
Practice address
1624 EBENEZER RD, ROCK HILL, SC 29732-1809
(803) 599-8869
Mailing address
PO BOX 746, FORT MILL, SC 29716-0746
(803) 599-8869
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8752
SC
Other
Enumeration date
03/14/2017
Last updated
04/28/2017
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