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Individual
JUDD BRUCH
Active
Individual
JUDD BRUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CC04053
MN
101YM0800X
Mental Health Counselor
CC04053
MN
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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