Individual
TERESA BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1019 E WATER ST, ELMIRA, NY 14901-3332
(607) 733-5696
Mailing address
1019 E WATER ST, ELMIRA, NY 14901-3332
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
00005322
NY
Other
Enumeration date
12/04/2009
Last updated
11/06/2012
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