Individual
BENJAMIN K BRUNNSCHWEILER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
5998 ALCALA PARK, SAN DIEGO, CA 92110-8001
(619) 260-4740
Mailing address
5998 ALCALA PARK, SAN DIEGO, CA 92110-8001
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
115458-SW-LICSW
MA
Other
Enumeration date
09/27/2018
Last updated
09/27/2018
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