Individual
BRUCE EDWARD HACKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
255 W 5TH ST, UNIT 616, SAN PEDRO, CA 90731-3388
(310) 707-7489
Mailing address
255 W 5TH ST, UNIT 616, SAN PEDRO, CA 90731-3388
(310) 707-7489
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
31994
CA
Other
Enumeration date
12/30/2011
Last updated
12/30/2011
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