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Individual
BRUCE K. FORDHAM
Active
Individual
BRUCE K. FORDHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
140784-6004
UT
101YP2500X
Professional Counselor
140784-6004
UT
Other
Enumeration date
04/25/2007
Last updated
04/12/2023
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