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Organization

LINDA J. BUNCK LCSW

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LINDA J BUNCK LCSW (LICENSED CLINICAL SOCIAL WORKER)
(239) 910-0955
Entity
Organization

Contact information

Practice address
1342 COLONIAL BLVD, SUITE K-119, FORT MYERS, FL 33907-1013
(239) 910-0955
Mailing address
3927 SE 4TH AVE, CAPE CORAL, FL 33904-4830
(239) 910-0955

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
SW5026
FL

Other

Enumeration date
01/05/2017
Last updated
01/05/2017
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