Most Relevant Information
Provider Data
| NPI Number: | 1003452731 |
| Provider Name: | SUZANNE R BRUCE |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/18/2019 |
| Last Updated: | 12/09/2019 |
Provider Practice Location
140 GOULD ST STE 230
NEEDHAM
MA
024942397
Practice Location Phone/Fax
| Phone: | 7743318226 |
| Fax: | 6176636056 |
Provider Mailing Location
792 S MAIN ST
28 NAISMITH STREET SPRINGFIELD MASS 01104
MANSFIELD
MA
020483137
Provider Mailing Phone/Fax
| Phone: | 7742502647 |
| Fax: | 6176636056 |