Bruce Wayne Augustonovich
Bruce Wayne Augustonovich is a Clinical Social Worker in Lawrence, Massachusetts. Qualified in 2018, 8 years ago. Practices as a sole proprietor and accepts Medicare assignment.
- Years since qualifying
- 8
- In the registry since
- 2017
Practice location Address checks out
12 Methuen StLawrence, MA 01840-1700
Phone: (978) 620-1719
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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 |
|---|
Record details
| NPI number | 1366971129 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 6, 2017 |
| Last updated in NPPES | June 6, 2017 |
| Mailing address | 12 Methuen St, Lawrence, MA 01840-1700 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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