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NPI Code Detail

MEDICARE: ANJANETTE BRUNGARDT LMSW

MEDICARE: ANJANETTE BRUNGARDT LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker4561KS

General Provider Information

NPI Number : 1093239311
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANJANETTE BRUNGARDT LMSW
Provider Business Mailing Address
First Line : 2121 SW CHELSEA DR
Second Line :
City : TOPEKA
State : KS
Zip : 66614-1756
Country : US
Telephone Number : 785-575-9342
Fax Number : 785-232-5172
Provider Business Practice Location Address
First Line : 2121 SW CHELSEA DR
Second Line :
City : TOPEKA
State : KS
Zip : 66614-1756
Country : US
Telephone Number : 800-466-2222
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2017
Last Update Date : 07/21/2022

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Directions to “ ANJANETTE BRUNGARDT LMSW” Practice Location

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