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Contact Information

MADISON BRUCE, BSW
117 N BOONE ST
OLNEY, IL62450-2109
 Phone: 618-392-3226
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for MADISON BRUCE · (Female)

NPI # 1174357172
Status Active
Credentials BSW
Entity Individual
Enumeration date 08/30/2024
Last updated 08/30/2024 - More than a year ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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