Melissa Ann Bullock, LICSW
NPI #1376388272 in Spanaway, Washington
Provider Information
- NPI Number
- 1376388272
- Entity Type
- Individual
- Name
- Melissa Ann Bullock, LICSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Jul 1, 2024
- Last Updated
- Jul 1, 2024
Practice Location
- Address
- 229 167TH ST E
- City
- Spanaway
- State
- Washington
- ZIP Code
- 98387-7800
- Phone
- (253) 778-2239
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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