Individual
MRS. JEANETTE M BRUCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
4707 CONN AVE NW, 101, WASHINGTON, DC 20008-5631
(202) 686-0114
Mailing address
4707 CONN AVE NW, SUITE 101, WASHINGTON, DC 20008-5631
(202) 686-0114
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC50078610
DC
Other
Enumeration date
11/13/2008
Last updated
11/13/2008
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