Individual
MR. BRUCE NICHOLAS ROONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW/LCSW
Contact information
Practice address
3983 GARFIELD DR, STONE MOUNTAIN, GA 30083-2362
(404) 292-4860
Mailing address
3983 GARFIELD DR, STONE MOUNTAIN, GA 30083-2362
(404) 292-4860
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
000671
GA
Other
Enumeration date
06/30/2006
Last updated
07/08/2007
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