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Individual

DEANNA MARIE BRUNK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1551 E MULLAN AVE STE 200D, POST FALLS, ID 83854-9005
(208) 262-2441
(208) 262-2390
Mailing address
226 S SUNSET DR, POST FALLS, ID 83854-9525
(208) 618-1889

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
LMSW-36545
ID
1041C0700X
Clinical Social Worker
Primary
LCSW42455
ID

Other

Enumeration date
07/08/2021
Last updated
08/22/2024
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