Individual
MS. ESTHER KLARA BRUNNER-KISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
4100 MITSCHER CT, KENSINGTON, MD 20895-1307
(301) 942-5168
Mailing address
4100 MITSCHER CT, KENSINGTON, MD 20895-1307
(301) 942-5168
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
08448
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012745
PROVIDER TAXONOMY
MD
01
—
110309
PROVIDER TAXONOMY
MD
01
—
1234MAMI
PROVIDER TAXONOMY
MD
Enumeration date
12/14/2009
Last updated
12/14/2009
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