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1457619157
ELIANA M DEANGELIS BRUNNER
LOUISVILLE, KY
NPI
1457619157
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Professional Name
ELLIE BRUNNER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: KY KY-0126)
Enumeration Date
2012-05-01
Last Update Date
2017-12-04
Business Address
ELIANA M DEANGELIS BRUNNER LPAT
3630 DUTCHMANS LN FL 2
LOUISVILLE, KY 40205-3216
Phone number: 502-523-7565
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Mailing Address
ELIANA M DEANGELIS BRUNNER LPAT
2306 WOODBOURNE AVE APT 5
LOUISVILLE, KY 40205-1754
Phone number: 502-523-7565
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