Individual
DANA BRUNNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6502 GRAND TETON PLZ STE 204, MADISON, WI 53719-1047
(608) 338-1786
Mailing address
4672 STAR SPANGLED TRL, MADISON, WI 53718-7003
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
306-228
WI
Other
Enumeration date
01/01/2015
Last updated
01/01/2015
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