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1972114759
BRUCE A LOUIS
CHESTERFIELD, VA
NPI
1972114759
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA 60809541)
Enumeration Date
2020-08-13
Last Update Date
2022-01-21
Business Address
BRUCE A LOUIS
15607 CHESDIN MANOR DR
CHESTERFIELD, VA 23838-4520
Phone number: 360-485-6212
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Mailing Address
BRUCE A LOUIS
PO BOX 1704
CHESTERFIELD, VA 23832-9107
Phone number: 360-485-6212
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