Individual
JESSICA MARIE BULLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
5010 TIMBER VIEW LN, SAINT LEONARD, MD 20685-2104
(410) 586-9699
Mailing address
5010 TIMBER VIEW LANE, SAINT LEONARD, MD 20685
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
29090
MD
104100000X
Social Worker
—
—
Other
Enumeration date
09/02/2022
Last updated
02/25/2025
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