Individual
MS. EBONY C BRUSHBREAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7390 W SAHARA AVE STE 240, LAS VEGAS, NV 89117-2764
(702) 427-4537
Mailing address
941 S ABALONE DR, GILBERT, AZ 85233-7401
(702) 427-4537
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
10879-C
NV
1041C0700X
Clinical Social Worker
Primary
LCSW-21790
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20144064283
—
NV
Enumeration date
07/29/2015
Last updated
03/06/2024
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