Individual
KRISTEN K BRUBAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1100 WAYNE ST STE 3400, TROY, OH 45373-3048
(937) 335-3701
Mailing address
PO BOX 220, TROY, OH 45373-0220
(937) 335-3701
(937) 335-7291
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
S.1101024
OH
Other
Enumeration date
10/13/2015
Last updated
02/22/2018
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