Individual
MS. ELLEN GORDEN BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1308 ATWOOD AVENUE, JOHNSTON, RI 02919-4936
(401) 942-8449
(401) 232-2201
Mailing address
1308 ATWOOD AVENUE, JOHNSTON, RI 02919-4936
(401) 942-8449
(401) 232-2201
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
107509
MA
1041C0700X
Clinical Social Worker
Primary
ISW00721
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
260561
BEACON HEALTH STRATEGIC
—
01
—
38768
BCBS OF RI
RI
01
—
407697
BLUE CHIP
RI
01
—
6242099
UNITED HEALTH
—
Enumeration date
10/30/2006
Last updated
07/08/2007
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