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Individual
BRUCE WALKER
Active
Individual
BRUCE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1369
TN
101YM0800X
Mental Health Counselor
Primary
—
NULL
Other
Enumeration date
09/19/2019
Last updated
10/06/2026
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