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Individual

DONNA LANDIS BRUBAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8109 GERMANTOWN AVE, PHILADELPHIA, PA 19118-3458
(215) 753-1153
(215) 753-1153
Mailing address
8109 GERMANTOWN AVE, PHILADELPHIA, PA 19118-3458
(215) 753-1153
(215) 753-1153

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW013517
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
26-1863065
IRS
Enumeration date
01/03/2025
Last updated
01/03/2025
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