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1285723155
BRUCE P. BALTER
VINEYARD HAVEN, MA
NPI
1285723155
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA 1018796)
Enumeration Date
2006-10-11
Last Update Date
2007-07-08
Business Address
-- BRUCE P. BALTER LICSW
322 STATE ROAD.
VINEYARD HAVEN, MA 02568
Phone number: 508-696-7643
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Mailing Address
-- BRUCE P. BALTER LICSW
64 WINEMACK AVE. PO BOX 106
OAK BLUFFS, MA 02557
Phone number: 508-696-7643
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