Individual
MR. BRUCE MACDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
ONE BROOKLINE PLACE, SUITE 426, BROOKLINE, MA 02445-7224
(617) 876-6332
Mailing address
42 PARKER ST, APT 3, CAMBRIDGE, MA 02138-2224
(617) 876-6332
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
111174
MA
Other
Enumeration date
12/04/2008
Last updated
12/04/2008
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