Yvette M Bullock, MSW

NPI #1053666057 in Johnson City, Tennessee

Provider Information

NPI Number: 1053666057
Entity Type: Individual
Name: Yvette M Bullock, MSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: MSW
Enumeration Date: Jul 17, 2012
Last Updated: Jul 17, 2012

Practice Location

Address: 200 W FAIRVIEW AVE
City: Johnson City
State: Tennessee
ZIP Code: 37604-5611
Phone: (877) 928-9062

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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