Madison Maryrose Brewer

NPI #1255086021 in Vanceburg, Kentucky

Provider Information

NPI Number: 1255086021
Entity Type: Individual
Name: Madison Maryrose Brewer
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Feb 19, 2022
Last Updated: Feb 19, 2022

Practice Location

Address: 1008 FAIRLANE DR
City: Vanceburg
State: Kentucky
ZIP Code: 41179-5403
Phone: (740) 727-1120

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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