Bruce Edward Hackman, MSW

NPI #1417227992 in San Pedro, California

Provider Information

NPI Number
1417227992
Entity Type
Individual
Name
Bruce Edward Hackman, MSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Case Manager/Care Coordinator
Credential
MSW
Enumeration Date
Dec 30, 2011
Last Updated
Dec 30, 2011

Practice Location

Address
255 W 5TH ST
Address 2
UNIT 616
ZIP Code
90731-3388
Phone
(310) 707-7489

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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