Individual
MRS. KATRINA MAGDALENE BRUNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, LISW
Contact information
Practice address
3563 SIERRA DEL SOL AVE, LAS CRUCES, NM 88012-0767
(563) 513-8076
Mailing address
3563 SIERRA DEL SOL AVE, LAS CRUCES, NM 88012-0767
(563) 513-8076
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
087293
IA
1041C0700X
Clinical Social Worker
Primary
C-11785
NM
Other
Enumeration date
06/19/2017
Last updated
10/10/2023
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