Individual
MATTHEW DAVID BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
6339 CONSTITUTION DR, FORT WAYNE, IN 46804-1547
(260) 415-8428
Mailing address
1147 W RUDISILL BLVD, FORT WAYNE, IN 46807-2142
(260) 415-8428
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33012842A
IN
Other
Enumeration date
02/26/2025
Last updated
02/26/2025
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