Individual
BRUCE DUWAYNE PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CT
Contact information
Practice address
1925 HAYES AVE, SANDUSKY, OH 44870-4737
(419) 557-5177
Mailing address
1522 E PERKINS AVE, SANDUSKY, OH 44870-7991
(419) 357-0801
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
C.2405708
OH
1041C0700X
Clinical Social Worker
Primary
C.1801246-TRNE
OH
Other
Enumeration date
09/12/2018
Last updated
03/05/2024
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