Individual
BRUCE WESOLOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4024 CENTRAL AVE, ST PETERSBURG, FL 33711-1239
(727) 327-7656
Mailing address
4024 CENTRAL AVE, ST PETERSBURG, FL 33711-1239
(727) 327-7656
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW5146
FL
Other
Enumeration date
01/06/2014
Last updated
01/06/2014
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