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Individual
LORI BROOKHART
Active
Individual
LORI BROOKHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.111003
OH
101YM0800X
Mental Health Counselor
Primary
E.1300082
OH
104100000X
Social Worker
S.0800395
OH
Other
Enumeration date
12/13/2016
Last updated
12/13/2016
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