Individual
LISA JEAN BRUNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSSW LCSW
Contact information
Practice address
4016 HOLLY HILL RD, LAKE CHARLES, LA 70605-2533
(337) 284-9779
(337) 282-7967
Mailing address
4016 HOLLY HILL RD, LAKE CHARLES, LA 70605-2533
(337) 284-9779
(337) 282-7967
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LCSW # 30998
TX
1041C0700X
Clinical Social Worker
Primary
LCSW BACS #10755
LA
Other
Enumeration date
07/21/2009
Last updated
05/08/2023
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