Joella M Bullock, LCSW

NPI #1407904097 in The Dalles, Oregon

Provider Information

NPI Number: 1407904097
Entity Type: Individual
Name: Joella M Bullock, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Jan 8, 2007
Last Updated: Jul 9, 2007

Practice Location

Address: 419 E 7TH ST
Address 2: ROOM 207
City: The Dalles
State: Oregon
ZIP Code: 97058-2676
Phone: (541) 296-5452

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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