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1245984210
BRENDA BRUNSTON
BUFORD, GA
NPI
1245984210
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA LPC013001)
Enumeration Date
2022-02-09
Last Update Date
2024-04-11
Business Address
BRENDA BRUNSTON
3303 NOBLE VINES DR # 171
BUFORD, GA 30519-6131
Phone number: 229-561-0772
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Mailing Address
BRENDA BRUNSTON
5856 UNION RD
HAHIRA, GA 31632-4219
Phone number: 229-561-0772
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