Tiawana Bullock III
Tiawana Bullock III is a Counselor in San Rafael, California. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
555 Northgate Dr Family Service Agency Of MarinSan Rafael, CA 94903
Phone: (415) 491-5700
Fax: (415) 491-5750
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1306985502 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 5, 2007 |
| Last updated in NPPES | July 8, 2007 |
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