Provider Demographics
NPI:1386118131
Name:LAFLAMME, BRUCE
Entity type:Individual
Prefix:
First Name:BRUCE
Middle Name:
Last Name:LAFLAMME
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 MERRIMAC ST UNIT 103
Mailing Address - Street 2:
Mailing Address - City:AMESBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01913-4026
Mailing Address - Country:US
Mailing Address - Phone:508-633-2263
Mailing Address - Fax:
Practice Address - Street 1:60 MERRIMAC ST UNIT 103
Practice Address - Street 2:
Practice Address - City:AMESBURY
Practice Address - State:MA
Practice Address - Zip Code:01913-4026
Practice Address - Country:US
Practice Address - Phone:508-633-2263
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-15
Last Update Date:2019-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA103233-SW-LICSW1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical