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Individual

MR. BRUCE FREEMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LICSW

Contact information

Practice address
6 PLEASANT ST, SUITE 314, MALDEN, MA 02148-5100
(617) 312-0751
Mailing address
32 ANDREW RD, SWAMPSCOTT, MA 01907-1929
(781) 321-2224

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1016283
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1851284
MA
Enumeration date
07/26/2006
Last updated
07/08/2007
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