Individual
ALISON BULLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
226 NORTHAMPTON ST, EASTON, PA 18042-3676
(267) 308-8138
Mailing address
344 WARREN ST, PHILLIPSBURG, NJ 08865-3248
(908) 887-5297
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
SW132120
PA
Other
Enumeration date
01/20/2016
Last updated
01/20/2016
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