Individual
BRUCE SKOVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1511 W MAIN AVE STE 100, DE PERE, WI 54115-9556
(920) 403-7600
(920) 403-7630
Mailing address
PO BOX 13156, GREEN BAY, WI 54307-3156
(920) 403-7600
(920) 403-7630
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/08/2017
Last updated
03/08/2017
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