PAUL EDWARD BRUNS

ALBION, IN
NPI1780072835
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IN  87001558A)
Enumeration Date2014-12-23
Last Update Date2014-12-23
Business Address
-- PAUL EDWARD BRUNS LCAC
101 E PARK DR
ALBION, IN 46701-1438
Phone number: 260-636-6884
Mailing Address
-- PAUL EDWARD BRUNS LCAC
4606 IMPERIAL PARK DRIVE
FORT WAYNE, IN 46835-4233
Phone number: 260-636-6884
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