Individual
MR. BRUCE A WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
48 W 21ST ST FL 7, NEW YORK, NY 10010-6907
(212) 243-2564
Mailing address
48 W 21ST ST FL 7, NEW YORK, NY 10010-6907
(212) 243-2564
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R 35612-1
NY
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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