Individual
DANA RENEE BRUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
925 HIGHWAY VV, KENNETT, MO 63857
(000) 000-0000
Mailing address
925 HIGHWAY VV, KENNETT, MO 63857
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/04/2020
Last updated
09/04/2020
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