LAVERNE BRUCE

ELIZABETH CITY, NC
NPI1750653945
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2012-02-02
Last Update Date2012-02-02
Business Address
Mr. LAVERNE BRUCE LCAS-P
504 E ELIZABETH ST STE 1
ELIZABETH CITY, NC 27909-4472
Phone number: 252-619-0319
Mailing Address
Mr. LAVERNE BRUCE LCAS-P
504 E ELIZABETH ST STE 1
ELIZABETH CITY, NC 27909-4472
Phone number: 252-619-0319
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