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Individual

SUSAN ELIZABETH BRUNELLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
C.B.A., C.B.I.S.

Contact information

Practice address
4851 INDEPENDENCE ST, WHEAT RIDGE, CO 80033-6715
(303) 425-0300
(303) 432-5071
Mailing address
9854 MARTIN LUTHER KING BLVD, DENVER, CO 80238-2993
(303) 777-0702

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
CO
103K00000X
Behavior Analyst
Primary
FL

Other

Enumeration date
08/09/2012
Last updated
08/09/2012
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