Organization
AMY AND BRANDON PUNG, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON PUNG LMSW (THERAPIST)
(269) 993-7672
Entity
Organization
Contact information
Practice address
2031 RAMBLING RD, KALAMAZOO, MI 49008-1632
(269) 993-7670
Mailing address
4356 SQUIRE HEATH RD, PORTAGE, MI 49024-4060
(269) 993-7672
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801084659
MI
Other
Enumeration date
03/07/2016
Last updated
03/07/2016
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