Provider Demographics
NPI:1407349368
Name:BRUNI, LOUIS M JR (LCSW)
Entity type:Individual
Prefix:MR
First Name:LOUIS
Middle Name:M
Last Name:BRUNI
Suffix:JR
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1000 LAFAYETTE BLVD STE 11
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06604-4725
Mailing Address - Country:US
Mailing Address - Phone:475-330-3356
Mailing Address - Fax:475-275-7253
Practice Address - Street 1:1000 LAFAYETTE BLVD STE 11
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06604-4725
Practice Address - Country:US
Practice Address - Phone:475-330-3356
Practice Address - Fax:475-275-7253
Is Sole Proprietor?:No
Enumeration Date:2018-06-14
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0117281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical