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Individual

MR. BRUCE MITCHELL BECKWITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
1841 BROADWAY, NEW YORK, NY 10023-7603
(212) 541-8196
Mailing address
277 SHERMAN AVE, JERSEY CITY, NJ 07307-1932
(201) 659-9585

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
070490
NY

Other

Enumeration date
04/26/2007
Last updated
07/08/2007
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