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Individual

BRUCE KENNETH DARROCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
693 ELMWOOD RD, WEST BABYLON, NY 11704-6908
(631) 793-6913
Mailing address
693 ELMWOOD RD, WEST BABYLON, NY 11704-6908
(631) 793-6913

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
075939-1
NY

Other

Enumeration date
09/19/2008
Last updated
09/19/2008
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