Individual
ALEXA BRUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
911 W 36TH ST, BALTIMORE, MD 21211-2445
(443) 990-1471
Mailing address
3716 ASHLEY WAY, OWINGS MILLS, MD 21117-1442
(410) 698-8332
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
23768
MD
Other
Enumeration date
03/09/2020
Last updated
03/09/2020
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