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Contact Information

MATICIA BRUNSON
204 E DOGWOOD DR
MULLINS, SC29574-2112
 Phone: 843-430-2502
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pastoral

101YP1600X
 

Mental Health

101YM0800X
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for MATICIA BRUNSON · (Female)

NPI Number 1770941148
Status Active
Credentials
Entity Individual
Enumeration date 02/01/2016
Last updated 02/01/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers Not Available
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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