BRUCE BOECK

NORMAL, IL
NPI1063614600
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: IL  180.003493)
Enumeration Date2007-06-05
Last Update Date2007-07-08
Business Address
-- BRUCE BOECK LCPC
1100 BEECH ST #10 NORMANDY VILLAGE
NORMAL, IL 61761-1493
Phone number: 309-454-2112
Mailing Address
-- BRUCE BOECK LCPC
207 SUELYNN DR
NORMAL, IL 61761-1339
Phone number: 309-454-1371
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