DOUGLAS BOWEN BRUNKER

SALT LAKE CITY, UT
NPI1154306421
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  1401633501)
Enumeration Date2005-12-09
Last Update Date2007-07-08
Business Address
Mr. DOUGLAS BOWEN BRUNKER LCSW
780 GUARDSMAN WAY
SALT LAKE CITY, UT 84108-1374
Phone number: 801-581-0194
Mailing Address
Mr. DOUGLAS BOWEN BRUNKER LCSW
44 W BROADWAY APT 1008
SALT LAKE CITY, UT 84101-3210
Phone number: 801-581-0194
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