Individual
MR. BRUCE WEBB EAKEN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1841 BROADWAY FL 4, NEW YORK, NY 10023-7603
(212) 333-3444
Mailing address
4863 BROADWAY APT 3P, NEW YORK, NY 10034-3157
(917) 885-9223
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
085465
NY
Other
Enumeration date
04/22/2013
Last updated
07/21/2022
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