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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JASMINE LA'TESE BULLOCK, LMSW

Active Sole Proprietor

JASMINE LA'TESE BULLOCK, LMSW is a Social Worker healthcare provider located in LINCOLN PARK, Michigan. NPI 1528523842 is currently active in the NPPES registry. Verify at CMS.

Social Worker · LINCOLN PARK, MI

Registration Details

NPI Number
1528523842
Provider Type
Individual
Gender
Female
NPI Issued
Feb 1, 2019 (7.5288521872799 yrs)
Last Updated
Aug 7, 2023
Licenses
6801096690 (MI)
6801096690 (MI)
Sole Proprietor
Yes

Practice Information

Address
26300 OUTER DR
LINCOLN PARK, MI, 481462019
Browse MI providers · Browse ZIP 48146
Phone
3133884630
Primary Specialty
Social Worker
104100000X
Additional Specialty
Clinical Social Worker

Other Social Worker Providers in LINCOLN PARK, MI

Name Credential NPI
DAVID LAWRENCE ULCH MSW 1104963644
MS. PAMELA ELIZABETH TOWNSEND SST 1790807477
MS. HEATHER ANN WILLIAMS-DYKOWSKI B.A., S.W. 1770706541
LAURA DAVENPORT LBSW 1801098249
KRISTINA MARIE RENAUD B.S., R.S.S.T 1962604348
MR. ALLEN CONRAD GRUENKE BA 1730381146
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.