Individual
BRUCE L. RAVENSCRAFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1741 SPYGLASS DR APT 130, AUSTIN, TX 78746-6887
(512) 785-3873
Mailing address
1741 SPYGLASS DR APT 130, AUSTIN, TX 78746-6887
(512) 785-3873
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
27737
TX
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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