Individual
DALE ROBERT BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4411 SUWANEE DAM RD, SUWANEE, GA 30024-8701
(937) 467-6789
Mailing address
4411 SUWANEE DAM RD STE 720, SUWANEE, GA 30024-8708
(937) 467-6789
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/14/2021
Last updated
05/14/2021
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