Ted Terry Bruce, MSW LICSW

NPI #1043376734 in Glendale, Wisconsin

Provider Information

NPI Number: 1043376734
Entity Type: Individual
Name: Ted Terry Bruce, MSW LICSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Counseling
Credential: MSW LICSW
Enumeration Date: Dec 28, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 6110 N PORT WASHINGTON RD
City: Glendale
State: Wisconsin
ZIP Code: 53217
Phone: (414) 332-7400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Counseling — Counseling	103TC1900X	Primary

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