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Individual

COLETTE A BRUNELL

Active
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Individual

COLETTE A BRUNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW-C

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
05994
MD
1041C0700X
Clinical Social Worker
Primary
05994
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
30171
MAMSI ID
MD
01
36140003
CAREFIRST DC PLAN
MD
01
42560901
CAREFIRST MD PLAN
MD
01
521885475
FED TAX ID
MD
Enumeration date
10/02/2006
Last updated
07/20/2015
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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