Individual
MR. DAVID ROBERT BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, MSW
Contact information
Practice address
1311 WESTBROOK PLAZA DR, SUITE 100, WINSTON SALEM, NC 27103-1327
(336) 659-8202
(336) 659-8206
Mailing address
PO BOX 24458, WINSTON SALEM, NC 27114-4458
(336) 659-8202
(336) 659-8206
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
C004665
NC
1041C0700X
Clinical Social Worker
Primary
C004665
NC
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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