Individual
MS. MARY CATHERINE BRUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
508 CHEROKEE ST, LEAVENWORTH, KS 66048-2626
(913) 775-3663
(913) 351-3797
Mailing address
31821 159TH ST, LEAVENWORTH, KS 66048-6470
(913) 775-3663
(913) 351-3797
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2351
KS
1041C0700X
Clinical Social Worker
CSW.09931602
CO
Other
Enumeration date
05/08/2007
Last updated
04/24/2025
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