Individual
BRUCE R STODDARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
412 HALE STREET, PRIDES CROSSING, MA 01965
(978) 526-4759
Mailing address
412 HALE STREET, PRIDES CROSSING, MA 01965
(978) 526-4759
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
110759
MA
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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