Individual
MISS BUNTHY PRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1023 MACARTHUR BLVD., OAKLAND, CA 94610-3965
(510) 874-7152
(510) 474-1473
Mailing address
1023 MACARTHUR BLVD., OAKLAND, CA 94610-3965
(510) 874-7152
(510) 474-1473
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
29369
CA
Other
Enumeration date
01/31/2007
Last updated
09/03/2019
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