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Individual
MS. ANDRA MARIE BRUCE
Active
Individual
MS. ANDRA MARIE BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
357058-3501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107012409101
INTERMOUNTAIN HEALTH CARE
UT
01
—
751647
DESERET MUTUAL
UT
01
—
942938348BRU
EDUCATORS MUTUAL
UT
Enumeration date
01/09/2006
Last updated
07/29/2016
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