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1588674857
BRUCE GROSSMAN
TAOS, NM
NPI
1588674857
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NM 190)
Enumeration Date
2006-08-09
Last Update Date
2007-07-08
Business Address
-- BRUCE GROSSMAN LPCC
631 KIT CARSON RD
TAOS, NM 87571-6452
Phone number: 505-758-7835
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Mailing Address
-- BRUCE GROSSMAN LPCC
631 KIT CARSON RD
TAOS, NM 87571-6452
Phone number: 505-758-7835
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