Individual
GALEN LEE BRUCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7020 WINONA AVE, SAINT LOUIS, MO 63109-1970
(314) 489-0394
Mailing address
7020 WINONA AVE, SAINT LOUIS, MO 63109-1970
(314) 489-0394
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2017031119
MO
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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