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1578586426
BRUCE WILLIAM CORNWELL
GAINESVILLE, FL
NPI
1578586426
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS20000)
Enumeration Date
2006-07-25
Last Update Date
2007-07-08
Business Address
Mr. BRUCE WILLIAM CORNWELL LCSW
1029 NW 23RD AVE
GAINESVILLE, FL 32609-3469
Phone number: 352-376-8788
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Mailing Address
Mr. BRUCE WILLIAM CORNWELL LCSW
444 SE 5TH AVE
MELROSE, FL 32666-5417
Phone number: 352-226-5566
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