Individual
LAURA BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
6331 CONSTITUTION DR, FORT WAYNE, IN 46804-1547
(260) 905-2105
Mailing address
1147 W RUDISILL BLVD, FORT WAYNE, IN 46807-2142
(260) 905-2105
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
35002183A
IN
Other
Enumeration date
10/25/2021
Last updated
11/09/2022
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