Individual
DEBORAH BRUNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2627 NE 203RD ST, SUITE 211, AVENTURA, FL 33180-1900
(305) 905-7177
Mailing address
3400 NE 192ND ST, PH LP10, AVENTURA, FL 33180-2462
(305) 905-7177
(305) 792-0217
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
SW6832
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z011L
BLUE CROSS BLUE SHIELD
FL
Enumeration date
09/23/2006
Last updated
07/08/2007
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