MR. Mark Allen Bullock IV, LCSW, CSAC

NPI #1134842354 in Chesterfield, Virginia

Provider Information

NPI Number
1134842354
Entity Type
Individual
Name
MR. Mark Allen Bullock IV, LCSW, CSAC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW, CSAC
Enumeration Date
Sep 22, 2022
Last Updated
Sep 22, 2022

Practice Location

Address
6801 LUCY CORR CT
ZIP Code
23832-6657
Phone
(804) 748-1227

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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