Individual
AMBER BRUNELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LICSW
Contact information
Practice address
1113 E FRANKLIN AVE, SUITE 203, MINNEAPOLIS, MN 55404-2974
(612) 721-0331
(612) 729-7834
Mailing address
PO BOX 704, CASS LAKE, MN 56633-0704
(218) 368-6233
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
22929
MN
Other
Enumeration date
08/12/2015
Last updated
08/12/2015
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