Individual
SUSAN CLAIRE BRUNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
530 E 2ND ST, DULUTH, MN 55805-1913
(218) 786-5300
Mailing address
530 E 2ND ST, DULUTH, MN 55805-1913
(218) 786-5300
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP2956
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
817018500
—
MN
Enumeration date
12/18/2006
Last updated
04/14/2017
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