Individual
BRUCE JUSTIN DEVELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
1122 MAZARION PL, NEW PORT RICHEY, FL 34655-4273
(850) 459-4064
Mailing address
1122 MAZARION PL, NEW PORT RICHEY, FL 34655-4273
(850) 459-4064
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/10/2018
Last updated
01/10/2018
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