Jennifer Renee Bruner LCSW, LADC

NPI 1346421476 - Social Worker - 1041C0700X

NPI Details
NPI 1346421476
Gender Female
Enumeration Date 11/16/2007
Last Updated 02/15/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
744 SE 25TH ST
OKLAHOMA CITY OK, 73129-4843, US
Phone (405) 636-1463
Fax
Business Location
2617 SE 8TH ST
MOORE OK, 73160-6731, US
Phone (405) 556-0286
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Oklahoma
License Number 3347
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According to our database, Mrs. Jennifer Renee Bruner LCSW, LADC NPI is 1346421476, taxonomy code is 1041C0700X and license number is 3347, license state is located at Oklahoma. Jennifer Renee Bruner LCSW, LADC physically located at 744 Se 25th St, Oklahoma City OK, 73129-4843. NPI Number Jennifer Renee Bruner LCSW, LADC has the Individual type.

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1346421476 NPI number is provided on an as is basis without warranty of any kind. 1346421476 is maintained by the National Plan & Provider Enumeration System. The contents of Jennifer Renee Bruner LCSW, LADC are for informational purposes only.