Individual
BRUCE EDWARD ST GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
81 HIGHLAND AVE, SALEM, MA 01970
(781) 334-6595
Mailing address
16 KENISTON RD, LYNNFIELD, MA 01940
(781) 334-6595
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2029425
MA
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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