Individual
MR. DAVID JOSEPH-DEWAYNE BREWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3132 E WASHINGTON BLVD, FORT WAYNE, IN 46803-1536
(260) 310-9699
Mailing address
7722 GATHINGS DR, FORT WAYNE, IN 46816-2759
(260) 241-2425
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
IN
Other
Enumeration date
07/11/2024
Last updated
07/11/2024
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