Individual
KIMBERLY BRUSSOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
625 N 6TH ST, PHOENIX, AZ 85004-2155
(602) 406-8222
Mailing address
3030 N CENTRAL AVE STE 1001, PHOENIX, AZ 85012-2716
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Enumeration date
07/03/2013
Last updated
07/15/2019
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