Individual
MR. BRUCE WESLEY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1197
(352) 376-1611
(352) 271-4543
Mailing address
3236 NW 28TH AVE, GAINESVILLE, FL 32605-2704
(352) 378-1830
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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