Individual
ASHLEY BRUNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 MADISON RD, CINCINNATI, OH 45206
(513) 354-5200
Mailing address
1501 MADISON RD, CINCINNATI, OH 45206
(513) 354-5200
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000
LICENSURE BOARD
OH
Enumeration date
06/07/2022
Last updated
01/30/2023
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