Individual
MR. BRUCE JORAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
50550 LITTLE JOHN LN, GRANGER, IN 46530-7527
(317) 900-6777
Mailing address
50550 LITTLE JOHN LN, GRANGER, IN 46530-7527
(317) 900-6777
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005639A
IN
Other
Enumeration date
12/07/2016
Last updated
12/07/2016
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