MR. DOUGLAS BRUNKER, LCSW

Social Worker - Clinical

Active Individual
NPI: 1154306421

Practice Address

780 GUARDSMAN WAY
Salt Lake City, UT 84108

Phone: (801) 581-0194

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes 1401633501 (UT)

Frequently Asked Questions

NPI 1154306421 is the National Provider Identifier for MR. DOUGLAS BRUNKER, LCSW, a Social Worker - Clinical provider located in Salt Lake City, UT. This NPI was enumerated on December 9, 2005.
MR. DOUGLAS BRUNKER, LCSW practices at 780 GUARDSMAN WAY, Salt Lake City, UT 84108.

Quick Facts

NPI
1154306421
Type
Individual
Enumerated
Dec 9, 2005
Last Updated
Jul 8, 2007

Nearby Providers