Individual
MRS. LISA BRUSKEVITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3491 GANDY BLVD N STE 201, PINELLAS PARK, FL 33781-2654
(440) 299-8184
Mailing address
4834 AUGUSTA AVE, OLDSMAR, FL 34677-6329
(814) 490-1381
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/08/2019
Last updated
07/08/2019
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