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1043376734
TED TERRY BRUCE
GLENDALE, WI
NPI
1043376734
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC1900X Psychologist, Counseling
(Licence: WI 3906-123)
Enumeration Date
2006-12-28
Last Update Date
2007-07-08
Business Address
-- TED TERRY BRUCE MSW LICSW
6110 N PORT WASHINGTON RD
GLENDALE, WI 53217
Phone number: 414-332-7400
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Mailing Address
-- TED TERRY BRUCE MSW LICSW
6110 N PORT WASHINGTON RD
GLENDALE, WI 53217
Phone number: 414-332-3322
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