BRUCE TEALL

PENFIELD, NY
NPI1235193962
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: NY  R054197-1)
Enumeration Date2006-04-12
Last Update Date2007-07-08
Business Address
MR. BRUCE TEALL LCSW
401 PENFIELD DR. BLDG #3
PENFIELD, NY 14526
Phone number: 585-314-4618
Mailing Address
MR. BRUCE TEALL LCSW
11 SENECA AVE
GENESEO, NY 14454-9508
Phone number: 585-314-4618
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