Most Relevant Information
Provider Data
| NPI Number: | 1003508532 |
| Provider Name: | MADISON BREWER |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/23/2023 |
| Last Updated: | 05/23/2023 |
Provider Practice Location
3622 PROSPECT AVE E
CLEVELAND
OH
441152704
Practice Location Phone/Fax
| Phone: | 2164314600 |
| Fax: |
Provider Mailing Location
3622 PROSPECT AVE E
CLEVELAND
OH
441152704
Provider Mailing Phone/Fax
| Phone: | 2164314600 |
| Fax: |