Individual
BRANDON P PUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.W.
Contact information
Practice address
2031 RAMBLING RD, KALAMAZOO, MI 49008-1632
(269) 993-7670
Mailing address
PO BOX 10, MASON, MI 48854-0010
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801084659
MI
Other
Enumeration date
06/24/2009
Last updated
03/04/2020
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