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Individual

MRS. JENNIFER RENEE BRUNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW, LADC

Contact information

Practice address
744 SE 25TH ST, OKLAHOMA CITY, OK 73129-4843
(405) 636-1463
Mailing address
2617 SE 8TH ST, MOORE, OK 73160-6731
(405) 556-0286

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3347
OK

Other

Enumeration date
11/16/2007
Last updated
02/15/2013
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