Individual
MS. MARY ANN BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCADC
Contact information
Practice address
8930 STANFORD BLVD, COLUMBIA, MD 21045-5805
(410) 313-6281
(410) 313-6212
Mailing address
8930 STANFORD BLVD, COLUMBIA, MD 21045-5805
(410) 313-6281
(410) 313-6212
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCA382
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750517892
—
MD
Enumeration date
06/03/2009
Last updated
04/23/2018
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