Individual
DAVID DEBRUICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1004 W 1ST ST, BLOOMINGTON, IN 47403-2208
(812) 362-5419
Mailing address
1004 W 1ST ST, BLOOMINGTON, IN 47403-2208
(912) 361-5419
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/09/2021
Last updated
07/09/2021
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