Individual provider · NPI-1

Whitney Nicole Bullock, LCSWA

Social Worker, Clinical · Rocky Mount, NC

NPI number1962874461
StatusActive
Last updated in NPPESOct 22, 2015

Details

NPI
1962874461
Entity type
Individual (NPI-1)
Name
Whitney Nicole Bullock
Credential
LCSWA
Sex
Female
Sole proprietor
No
Enumeration date
Oct 22, 2015
Last updated
Oct 22, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalP009024NCYes

Practice location

148 S Washington St
Rocky Mount, NC 27801-5501

Phone 252-212-5524

Mailing address

Po Box 345
Battleboro, NC 27809-0345

Phone 252-883-8056

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