Individual
JORDAN BRUNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1627 WAVERLY WAY APT E, BALTIMORE, MD 21239-2311
(843) 813-1051
Mailing address
1627 WAVERLY WAY APT E, BALTIMORE, MD 21239-2311
(843) 813-1051
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
24063
MD
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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