Individual
CARLA BUNNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9051 RIDGEFIELD DR, FREDERICK, MD 21701-6740
(240) 236-1512
Mailing address
7915 MOUNT PLEASANT CT E, WALKERSVILLE, MD 21793-7306
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
19141
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
541628100
—
MD
Enumeration date
12/18/2018
Last updated
12/18/2018
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