Individual
BRUCE MICHAEL LEVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
91 CENTRAL AVE, NEWTON, MA 02460-1711
(617) 916-5256
Mailing address
91 CENTRAL AVE, NEWTON, MA 02460-1711
(617) 916-5256
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
113660
MA
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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