Individual
ANASTACIA BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
9426 LIMA RD, FORT WAYNE, IN 46818-8680
(260) 497-0328
Mailing address
9426 LIMA RD, FORT WAYNE, IN 46818-8680
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
35001899A
IN
Other
Enumeration date
01/29/2016
Last updated
01/29/2016
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