Individual
BRASHAUN SIMONE ELLINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1465 MALIBU CIR NE APT 109, PALM BAY, FL 32905-6311
(561) 951-1978
Mailing address
1465 MALIBU CIR NE APT 109, PALM BAY, FL 32905-6311
(561) 951-1978
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/13/2019
Last updated
03/13/2019
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