Bruce Marty Mizener, B.A.

NPI #1689054819 in Pinellas Park, Florida

Provider Information

NPI Number
1689054819
Entity Type
Individual
Name
Bruce Marty Mizener, B.A.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker
Credential
B.A.
Enumeration Date
Jun 3, 2015
Last Updated
Jun 3, 2015

Practice Location

Address
3491 GANDY BLVD N STE 201
State
Florida
ZIP Code
33781-2654
Phone
(727) 547-0607

Specialties & Taxonomy Codes

Specialty
Social Worker

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