Individual
BRUCE ADIN GUNTHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS,MSW,
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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