Individual
JENNIFER LYNN BRUCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
322 NW F ST, GRANTS PASS, OR 97526-2052
(541) 916-4777
Mailing address
201 W MAIN ST STE 4B, MEDFORD, OR 97501-2734
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/06/2017
Last updated
12/06/2017
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