Provider Information for 1649375825
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Dr. BRUCE EDWARD MCCLURE PhD, LCPC,NCC
Sex: Male
NPI: 1649375825
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
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| NPI | 1649375825 | ||||||||||||
| Enumeration Date | 2006-09-13 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 7800 CENTRAL AVE LANDOVER, MD 20785-4807 United States Phone: 301-333-5150 | Fax:301-333-5161 | ||||||||||||
| Primary Practice Address | 7800 CENTRAL AVE LANDOVER, MD 20785-4807 United States Phone: 301-333-5150 | Fax:301-333-5161 | ||||||||||||
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