Nancy Bullock, LCSW

NPI #1992123319 in Leesburg, Florida

Provider Information

NPI Number: 1992123319
Entity Type: Individual
Name: Nancy Bullock, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LCSW
Enumeration Date: Apr 2, 2014
Last Updated: Apr 2, 2014

Practice Location

Address: 2020 TALLEY RD
City: Leesburg
State: Florida
ZIP Code: 34748-3426
Phone: (352) 315-7500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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