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Search › Georgia › 101YM0800X

Staci Bullard, LAPC

NPI 1760725444 · on the registry since 2013 · sole proprietor

Practice

Address
4530 S Berkeley Lake Rd
Norcross, GA 30071
Phone
(678) 680-6722
Organisation at this address
Hopscotch
Ansitz Inc
We Listen, Llc
James Z Bowcock Md Pc
Robert P Roney D Min Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-04-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia