Individual
MRS. DEBRA LOUISE VANBRUNT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28 N MAIN STREET, OMAK, WA 98841
(509) 846-1011
Mailing address
PO BOX 1986, OMAK, WA 98841-1986
(509) 846-1011
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LW00006875
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LW00006875
LICENSED SOCIAL WORKER
WA
Enumeration date
02/20/2007
Last updated
07/08/2007
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