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Individual

PHILLIP BRUNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
202 E WASHINGTON ST STE 308, ANN ARBOR, MI 48104-2051
(248) 617-0842
Mailing address
1537 NW 56TH ST APT 206, SEATTLE, WA 98107-5380
(803) 747-4226

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Enumeration date
09/07/2022
Last updated
09/30/2024
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