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1174146195
KYLE BRUCKE
JASPER, AL
NPI
1174146195
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AL 4294C)
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2020-05-26
Last Update Date
2021-06-15
Business Address
KYLE BRUCKE LICSW
1100 7TH AVE
JASPER, AL 35501-4377
Phone number: 205-302-9000
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Mailing Address
KYLE BRUCKE LICSW
1100 7TH AVE
JASPER, AL 35501-4377
Phone number:
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