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Individual
BRUCE EDWARD MYERS
Active
Individual
BRUCE EDWARD MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHP
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1429
NE
1041C0700X
Clinical Social Worker
Primary
539
NE
1041C0700X
Clinical Social Worker
764
NE
Other
Enumeration date
11/02/2006
Last updated
11/10/2010
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