Bruce, Mary Ann

Bruce, Mary Ann is an individual health care provider with primary practice located at 8930 Stanford Blvd , Columbia MD 21045-5805. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Bruce, Mary Ann can be contacted via phone (410) 313-6281.

Contact Information

Primary practice address
8930 Stanford Blvd Columbia MD 21045-5805
Phone: (410) 313-6281
Fax: (410) 313-6212
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCA382 Maryland

Profile Details

NPI number 1750517892
LBN Legal business name Bruce, Mary Ann
Credentials LCADC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2009
Last updated Apr 23rd, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750517892 NPPES
Maryland MEDICAID 1750517892

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