Individual
CARRIE LEIGH BULLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2708 NE 14TH ST, STE. 5, POMPANO BEACH, FL 33062-3565
(888) 880-9270
Mailing address
2714 ALDERGROVE RD, MATTHEWS, NC 28105-6900
(972) 963-0777
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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