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1821199050
BRUCE EDMOND HARDWICK
PRESCOTT, AZ
NPI
1821199050
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: AZ 1953SW)
Enumeration Date
2006-09-26
Last Update Date
2007-07-08
Business Address
Mr. BRUCE EDMOND HARDWICK LMSW
500 N HIGHWAY 89 VA MEDICAL CENTER
PRESCOTT, AZ 86313
Phone number: 928-445-4860
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Mailing Address
Mr. BRUCE EDMOND HARDWICK LMSW
324 COCHISE ST
PRESCOTT, AZ 86303-3506
Phone number: 928-445-3496
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