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Individual

MR. BRUCE E. LEVISON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW, MSW

Contact information

Practice address
100 RIVERVIEW CENTER, STE 314, MIDDLETOWN, CT 06457
(860) 346-6020
(860) 346-6023
Mailing address
100 RIVERVIEW CENTER, STE. 314, MIDDLETOWN, CT 06457
(860) 346-6020
(860) 346-6023

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001595
CT

Other

Enumeration date
09/20/2006
Last updated
02/28/2013
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