MR. Bruce Teall, LCSW

NPI #1235193962 in Penfield, New York

Provider Information

NPI Number
1235193962
Entity Type
Individual
Name
MR. Bruce Teall, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Apr 12, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
401 PENFIELD DR.
Address 2
BLDG #3
ZIP Code
14526
Phone
(585) 314-4618

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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