Individual
MISS MELANIE SHARONDA BRUNNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
611 28TH AVE, TUSCALOOSA, AL 35401-1715
(205) 409-8248
Mailing address
3920 WATERMELON RD APT B, NORTHPORT, AL 35473-5183
(205) 861-4144
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4631C
AL
Other
Enumeration date
03/03/2021
Last updated
04/15/2021
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