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Individual
MRS. MICHELLE ANN BRUNAULT
Active
Individual
MRS. MICHELLE ANN BRUNAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LMHC5808
MA
101YM0800X
Mental Health Counselor
5808
MA
Other
Enumeration date
03/24/2007
Last updated
08/18/2016
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