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Individual
STEPHEN PHILLIP BROMBEREK
Active
Individual
STEPHEN PHILLIP BROMBEREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34003374A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34003374A
INDIANA HEALTH PROFESSION
IN
Enumeration date
08/19/2007
Last updated
08/21/2008
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