Individual
ASHLEY BRUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
621 MEMORIAL DR STE 402, SOUTH BEND, IN 46601-1074
(219) 413-5100
Mailing address
18185 BRIGHTLINGSEA PL, SOUTH BEND, IN 46637-4416
(574) 339-7088
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33007361A
IN
Other
Enumeration date
11/23/2018
Last updated
11/23/2018
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