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
- City
- Chesterfield
- State
- Virginia
- ZIP Code
- 23832-6657
- Phone
- (804) 748-1227
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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