KRISTEN DIANNE BRUNDAGE Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149025866

License Status

ACTIVE

Business

First Name

KRISTEN

Middle

DIANNE

Last Name

BRUNDAGE

Business Name

KRISTEN DIANNE BRUNDAGE

Original Issue Date

09/07/2023

Effective Date

10/20/2025

Expiration Date

11/30/2027

City

LACEY

State

Zip

98516

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/20/2025