Individual
BARBARA JO BUNNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, SAC-IT
Contact information
Practice address
1810 N 2ND ST, WAUSAU, WI 54403-3492
(715) 848-4884
Mailing address
1812 N 2ND ST, WAUSAU, WI 54403
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
9226-123
WI
Other
Enumeration date
06/19/2012
Last updated
02/11/2020
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