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1396408779
CHARLOTTE BRUNSON
AVONDALE, AZ
NPI
1396408779
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AZ LAC-19621)
Enumeration Date
2021-10-21
Last Update Date
2021-10-21
Business Address
CHARLOTTE BRUNSON LAC
10320 W MCDOWELL RD STE 7022
AVONDALE, AZ 85392-4871
Phone number: 623-215-8189
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Mailing Address
CHARLOTTE BRUNSON LAC
18020 W ENOCH DR
SURPRISE, AZ 85387-9733
Phone number: 623-363-0056
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