Individual
JANE BRUNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
486 REPLACEMENT AVE, FORT LEONARD WOOD, MO 65473-8865
(573) 596-0212
(573) 596-0551
Mailing address
486 REPLACEMENT AVE, FORT LEONARD WOOD, MO 65473-8865
(573) 596-0212
(573) 596-0551
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3762
HI
Other
Enumeration date
06/03/2012
Last updated
06/03/2012
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