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1114291655
CARLYLE BRUCE
ATLANTA, GA
NPI
1114291655
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: GA PSY0002627)
Enumeration Date
2012-03-01
Last Update Date
2012-03-01
Business Address
Dr. CARLYLE BRUCE
1961 N DRUID HILLS RD NE
ATLANTA, GA 30329-1842
Phone number: 404-315-8333
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Mailing Address
Dr. CARLYLE BRUCE
4708 ELAM FOREST DR
STONE MOUNTAIN, GA 30083-4929
Phone number:
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