Individual
PAULA BRUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
308 BARNES RD, WILLIAMSTOWN, KY 41097-9483
(859) 578-3200
(859) 431-3055
Mailing address
503 FARRELL DR, COVINGTON, KY 41011-3775
(859) 578-3200
(859) 578-3273
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
253905
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
610661458
TAX ID
KY
Enumeration date
11/12/2015
Last updated
11/16/2021
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