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Contact Information

PAT J BRUNO, LCSW
105 RHONDA LN
ROSE BUD, AR72137-8003
 Phone: 501-827-8136
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Pastoral

101YP1600X
Indicates primary specialty

NPI Profile & details for PAT J BRUNO · (Female)

NPI Number 1154050243
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 06/06/2022
Last updated 03/29/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • AR License # 9685-C
  • AR Medicaid 324450719
  • Other 15584417 CAQH
  • AR Other 9685C ARKANSAS SOCIAL WORK LICENSING BOARD-LCSW
  • AR Other 10-637 ORDINATION OF MINISTER OFFICIANT
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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