Individual
COLLEEN BRUNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
701 E 50TH ST, AUSTIN, TX 78751-2615
(512) 387-0769
Mailing address
8963 N EXETER AVE, PORTLAND, OR 97203-5919
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
59847
TX
Other
Enumeration date
10/09/2007
Last updated
09/09/2020
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