Individual
MR. BRUCE L. STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
631 NORTH HYER AV, ORLANDO, FL 32803-4629
(407) 648-9118
(407) 865-5432
Mailing address
631 NORTH HYER AV, ORLANDO, FL 32803-4629
(407) 648-9118
(407) 865-5432
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW0001618
FL
Other
Enumeration date
03/05/2007
Last updated
07/13/2012
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