Individual
MR. BRUCE D BURLESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
180 CENTRE ST, BROCKTON, MA 02302-2733
(508) 586-6300
(508) 580-1527
Mailing address
39 THATCHER ST, BROCKTON, MA 02302-3944
(617) 970-9255
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/08/2008
Last updated
04/08/2008
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