Bruce Wallace
Bruce Wallace is a Clinical Social Worker in Waianae, Hawaii. Practices as a sole proprietor. Licensed in Hawaii.
- Licensed in
- HI
- In the registry since
- 2021
Practice location Address checks out
85-888 Farrington HwyWaianae, HI 96792-2403
Phone: (808) 696-9498
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence LCSW-5142 (HI) |
|---|
Record details
| NPI number | 1689341679 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 26, 2021 |
| Last updated in NPPES | April 6, 2026 |
| Certification date | April 6, 2026 |
| Mailing address | 86-226 Farrington Hwy, Waianae, HI 96792-3128 |
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