Individual
SAMANTHA BRUINIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
320 W 3RD NORTH ST, MORRISTOWN, TN 37814-4038
(423) 581-2411
Mailing address
205 W SPRINGDALE AVE, KNOXVILLE, TN 37917-5158
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/13/2017
Last updated
09/13/2017
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