Individual
BRUCE MORCKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3305 GREENWICH ANGLING RD, GREENWICH, OH 44837-9443
(419) 752-5021
(419) 752-8705
Mailing address
3305 GREENWICH ANGLING RD, GREENWICH, OH 44837-9443
(419) 752-5021
(419) 752-8705
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
UA1005143
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16360
—
OH
Enumeration date
10/24/2016
Last updated
10/24/2016
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