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MR. BRUCE WADE SELVAGE JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS

Contact information

Practice address
1690 GREENDALE DR NE, CLEVELAND, TN 37323-5920
(423) 715-5576
Mailing address
1690 GREENDALE DR NE, CLEVELAND, TN 37323-5920
(423) 715-5576

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1882
TN

Other

Enumeration date
03/02/2007
Last updated
07/08/2007
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