BRUCE WALLACE

WAIANAE, HI
NPI1689341679
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: HI  LCSW-5142)
Enumeration Date2021-08-26
Last Update Date2026-04-06
Business Address
BRUCE WALLACE
85-888 FARRINGTON HWY
WAIANAE, HI 96792-2403
Phone number: 808-696-9498
Mailing Address
BRUCE WALLACE
86-226 FARRINGTON HWY
WAIANAE, HI 96792-3128
Phone number: 808-696-9498
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