Individual
MR. BRUCE ROBERT BECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
16 POMPTON AVE, POMPTON LAKES, NJ 07442-1895
(973) 835-6337
(973) 616-4688
Mailing address
30 OAKWOOD DR, RINGWOOD, NJ 07456-2016
(973) 616-9623
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC00676700
NJ
Other
Enumeration date
03/20/2008
Last updated
03/20/2008
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