BRUCE WILLIAM CORNWELL

GAINESVILLE, FL
NPI1578586426
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  LCS20000)
Enumeration Date2006-07-25
Last Update Date2007-07-08
Business Address
Mr. BRUCE WILLIAM CORNWELL LCSW
1029 NW 23RD AVE
GAINESVILLE, FL 32609-3469
Phone number: 352-376-8788
Mailing Address
Mr. BRUCE WILLIAM CORNWELL LCSW
444 SE 5TH AVE
MELROSE, FL 32666-5417
Phone number: 352-226-5566