Search › Mississippi › 1041C0700X
Sonja Bullock, LCSW
NPI 1992093215 · on the registry since 2011 · sole proprietor
Practice
- Address
- 508 Cedarwood Dr
Jackson, MS 39212 - Phone
- (601) 214-8157
- Fax
- (601) 371-0905
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-07-20
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 Mississippi