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Donald R Brubaker, L.I.S.W.

Social Worker, Clinical in Lima, OH. Individual provider (NPI-1).

NPI number1508929415
StatusActive
Last updated in NPPESMay 7, 2009

Details

NPI
1508929415
Entity type
Individual (NPI-1)
Name
Mr. Donald R Brubaker
Credential
L.I.S.W.
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 19, 2006
Last updated
May 7, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalI0001120OHYes

Practice location

1037 W. Market Street
Lima, OH 45805

Phone 419-222-5077 · Fax 419-228-5343

Mailing address

1037 W. Market Street
Lima, OH 45805

Phone 419-222-5077 · Fax 419-228-5343

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