Individual
EMILY G BRUECKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2121 LISENBY AVE, PANAMA CITY, FL 32405-2910
(850) 763-7102
Mailing address
2121 LISENBY AVE, PANAMA CITY, FL 32405-2910
(850) 763-7102
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ISW15863
FL
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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