NPI 1003593914

Mary Kay Gordon-Brunner

Practitioner Clinical Social Worker Caldwell, ID

Practice location

Address: 314 Badiola St, Caldwell, ID 83605-4389
Phone: (702) 589-4871
Mailing address: PO Box 264, Middleton, ID 83644-0264

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence LCSW-33403 (ID)

Other Social Worker providers in Idaho →

Registry record

NPI: 1003593914
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Jul 2023
Record last updated: 10 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.