Individual
BRUNA SOUZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
75 CAVALIER BLVD, FLORENCE, KY 41042-3950
(859) 594-4510
Mailing address
3730 GLENWAY AVE, CINCINNATI, OH 45205-1354
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N-A-1
LICENSURE
—
Enumeration date
12/12/2017
Last updated
06/08/2023
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