Organization
JEAN BRUNK LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN BRUNK LCSW (OWNER)
(574) 238-7849
Entity
Organization
Contact information
Practice address
117 S 5TH ST, GOSHEN, IN 46528-3711
(574) 231-7010
(574) 231-7135
Mailing address
117 S 5TH ST, GOSHEN, IN 46528-3711
(574) 231-7010
(574) 231-7135
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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