Individual
EBONY BRUNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
964 N 35TH ST, MILWAUKEE, WI 53208-3352
(414) 933-8810
Mailing address
966 N 35TH ST, MILWAUKEE, WI 53208-3352
(414) 933-8810
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/17/2021
Last updated
05/20/2023
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