Individual
BRUCE FLEMING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
975 E GREEN ST, SUITE 104, PASADENA, CA 91106-2400
(818) 952-3203
Mailing address
975 E GREEN ST, SUITE 104, PASADENA, CA 91106-2400
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS5417
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CSW054170
—
CA
Enumeration date
02/15/2007
Last updated
07/08/2007
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