Individual
ASHLEY BRUBAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, PMH-C, IBCLC
Contact information
Practice address
2451 E BASELINE RD STE 200, GILBERT, AZ 85234-2405
(480) 507-2199
Mailing address
2451 E BASELINE RD STE 200, GILBERT, AZ 85234-2405
(480) 507-2199
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-17966
AZ
174N00000X
Lactation Consultant (Non-RN)
L-314945
AZ
Other
Enumeration date
03/18/2024
Last updated
06/28/2024
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