Brundidge, Debra
Brundidge, Debra is an sole proprietor health care provider with primary practice located at 11134 Luschek Dr , Blue Ash OH 45241-2434. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Brundidge, Debra can be contacted via phone (513) 827-9273.Contact Information
Primary practice address
11134 Luschek Dr
Blue Ash OH 45241-2434
Phone: (513) 827-9273
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 041031 | Ohio |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | S4617 | Ohio |
Profile Details
| NPI number | 1215480967 |
|---|---|
| LBN Legal business name | Brundidge, Debra |
| Credentials | LSW, LCDC III |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 29th, 2016 |
| Last updated | Jul 29th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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