Mary Kay Gordon-Brunner

NPI 1003593914 · on the registry since 2023 · sole proprietor

Practice

Address: 314 Badiola St
Caldwell, ID 83605
Phone: (702) 589-4871
Organisation at this address: Human Supports Of Idaho, Inc
Human Supports Of Idaho, Inc
Human Supports Of Idaho, Inc.
Human Supports Of Idaho, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 12

Registry record

Primary taxonomy: Clinical Social Worker
1041C0700X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2023-08-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho