Dominique Jaleh Bullock, LSW Valid NPI

Individual provider · Social Worker · Eatontown, NJ

NPI

1811862998

Type

Individual (Type 1)

Primary specialty

Social Worker

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

104100000X

License number

44SL07062700 (NJ)

Sex

Female

Sole proprietor

No

Enumerated

2025-10-08

Last updated

2025-10-08