Individual
KACY BRUBAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COUNSELOR IN TRAININ
Contact information
Practice address
6020 DAWSON BLVD, NORCROSS, GA 30093-1229
(770) 662-0249
Mailing address
6020 DAWSON BLVD, NORCROSS, GA 30093-1229
(770) 662-0249
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/18/2014
Last updated
12/18/2014
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