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Individual

BRUCE ADIN GUNTHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS,MSW,

Contact information

Practice address
1645 ETTERS LN, CASSATT, SC 29032-9265
(803) 425-7178
Mailing address
1645 ETTERS LN, CASSATT, SC 29032-9265
(803) 425-7178

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8973 CP-S
SC
1041C0700X
Clinical Social Worker
LICSW 209
RI
106H00000X
Marriage & Family Therapist
LIMFT 23 (INACTIVE)
RI

Other

Enumeration date
08/27/2008
Last updated
08/27/2008
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