Individual
MS. MARY JOAN BRUNNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 S WILLIAM ST, SOUTH BEND, IN 46601-2515
(574) 234-2870
(574) 232-2872
Mailing address
201 S WILLIAM ST, SOUTH BEND, IN 46601-2515
(574) 234-2870
(574) 232-2872
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/16/2007
Last updated
07/09/2007
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