Shane Bullock
Shane Bullock is a Social Worker in Salt Lake City, Utah. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
5456 Arches DrSalt Lake City, UT 84129-1704
Phone: (801) 815-2833
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X |
|---|
Record details
| NPI number | 1033465950 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 29, 2012 |
| Last updated in NPPES | July 29, 2012 |
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