Individual
MR. JEFFREY KEENAN BRUNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.W., LGSW
Contact information
Practice address
1001 CROMWELL BRIDGE RD, TOWSON, MD 21286-3300
(410) 337-5523
Mailing address
1908 SULGRAVE AVE, 2, BALTIMORE, MD 21209-4578
(410) 353-5520
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20441
MD
Other
Enumeration date
11/22/2014
Last updated
11/22/2014
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