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Individual
MS. WENDY ELLEN BRUS
Active
Individual
MS. WENDY ELLEN BRUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
000479
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
136340
VALUE OPTIONS PROVIDER
—
01
—
45726
CIGNA BEHAVIORAL PROVIDER
—
01
—
CT 000479
LICENSE NUMBER
CT
Enumeration date
04/02/2007
Last updated
07/08/2007
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