Individual
MR. JOEL STEVEN BRUNNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
33 COMMERCIAL ST, SUITE 2, GLOUCESTER, MA 01930-5040
(978) 283-7198
Mailing address
31 FAIRVIEW AVE, APT. 9, IPSWICH, MA 01938-2060
(978) 283-7198
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/25/2007
Last updated
07/08/2007
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