Individual
BERT A BRUNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
375 S CARBON AVE STE 134, PRICE, UT 84501-2909
(435) 650-6562
Mailing address
908 W 1100 S, PRICE, UT 84501-4324
(435) 650-6562
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
266606-3501
UT
Other
Enumeration date
02/28/2011
Last updated
08/07/2023
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