Bruce P. Balter, LICSW

NPI #1285723155 in Vineyard Haven, Massachusetts

Provider Information

NPI Number
1285723155
Entity Type
Individual
Name
Bruce P. Balter, LICSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LICSW
Enumeration Date
Oct 11, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
322 STATE ROAD.
ZIP Code
02568
Phone
(508) 696-7643

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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