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Individual
MICHAEL BRUDZINSKI
Active
Individual
MICHAEL BRUDZINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
BH006047
PA
Other
Enumeration date
08/16/2019
Last updated
02/08/2023
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