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Search › Virginia › 1041C0700X

Irene Bullock, LCSW

NPI 1922786268 · on the registry since 2023 · sole proprietor

Practice

Address
1600 Westbrook Ave Ste 134
Richmond, VA 23227
Phone
(804) 292-3500
Fax
(888) 382-0230
Organisation at this address
Main Street Pharmacy, Llc
Westminster-Canterbury Corporation
Westminster Canterbury Corporation
Westminster Canterbury Corporation
Westminster Canterbury Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
34

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-03-27

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 Virginia