Individual
MS. GAIL ANN HARRIS-BRUNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LBSW
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
247200000X
Other Technician
Primary
6802085818
MI
Other
Enumeration date
06/06/2013
Last updated
11/11/2014
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