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Individual

MR. BRUCE R BISCHOFF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.C.S.W.

Contact information

Practice address
115 CONWAY AVE, NORFOLK, VA 23505-4421
(757) 395-9413
Mailing address
115 CONWAY AVE, NORFOLK, VA 23505-4421
(757) 395-9413

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904000766
VA

Other

Enumeration date
06/28/2007
Last updated
07/08/2007
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