Lawanda Bullock

NPI #1982119350 in Salem, New Jersey

Provider Information

NPI Number: 1982119350
Entity Type: Individual
Name: Lawanda Bullock
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Dec 7, 2017
Last Updated: Dec 7, 2017

Practice Location

Address: 29 MONEY ISLAND RD
City: Salem
State: New Jersey
ZIP Code: 08079-9402
Phone: (856) 339-4398

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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