MRS. Talia Mary Bruce, LICSW

NPI #1801924212 in Roxbury, Massachusetts

Provider Information

NPI Number: 1801924212
Entity Type: Individual
Name: MRS. Talia Mary Bruce, LICSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LICSW
Enumeration Date: Feb 28, 2007
Last Updated: Aug 26, 2009

Practice Location

Address: 45 DIMOCK ST.
Address 2: RICHARDS BUILDING
City: Roxbury
State: Massachusetts
ZIP Code: 02119
Phone: (617) 442-8800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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