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Individual
MS. JODIE E BROMAN
Active
Individual
MS. JODIE E BROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, CAAR, CDPT
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
60459915
WA
101YM0800X
Mental Health Counselor
Primary
60456236
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100554
—
WA
Enumeration date
06/08/2017
Last updated
06/08/2017
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