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Individual
MARCELLUS E BROOMES, MS
Active
Individual
MARCELLUS E BROOMES, MS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC, LCADC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
37AC00232200
NJ
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00206800
NJ
Other
Enumeration date
04/14/2017
Last updated
04/14/2017
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