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Organization
BROOKE OSTERHOUDT, LLC
Active
Organization
BROOKE OSTERHOUDT, LLC
Active
Parent organization
BROOKE OSTERHOUDT, PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BROOKE OSTERHOUDT, PLLC
Authorized official
SHANA LOTT (PRACTICE MANAGER)
(303) 408-4455
Entity
Organization
Contact information
Practice address
4341 CHARLOTTE HWY STE 202, LAKE WYLIE, SC 29710-7062
(303) 408-4455
Mailing address
16 HAMILTONS FERRY RD, CLOVER, SC 29710-8911
(303) 408-4455
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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