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Individual
JAMES HAROLD BROECKER
Active
Individual
JAMES HAROLD BROECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LMFT
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
650-124
WI
106H00000X
Marriage & Family Therapist
913
MN
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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