NPI 1053666057

Yvette M Bullock, MSW

Practitioner Social Worker Johnson City, TN

Practice location

Address: 200 W Fairview Ave, Johnson City, TN 37604-5611
Phone: (877) 928-9062
Fax: (423) 467-3644
Mailing address: 1167 Spratlin Park Dr, Gray, TN 37615-6205

Registered specialties

Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 104100000X

Other Social Worker providers in Tennessee →

Registry record

NPI: 1053666057
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Jul 2012
Record last updated: 17 Jul 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.