Individual
MR. BRUCE EDWARD MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
102 CHESTNUT DR, HIGH POINT, NC 27262-6804
(336) 886-5594
Mailing address
102 CHESTNUT DR, HIGH POINT, NC 27262-6804
(336) 886-5594
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
C008142
NC
Other
Enumeration date
06/03/2013
Last updated
06/03/2013
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