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Individual

MARIAN BRUCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
34 WOODLAWN AVE, NORWALK, OH 44857-2236
(567) 743-7199
(419) 756-5642
Mailing address
151 MARION AVE, MANSFIELD, OH 44903-2223
(419) 774-9969
(419) 756-5642

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
08/29/2024
Last updated
08/29/2024
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