Individual
BROOKE CHAMPT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
527 COBB ST, CADILLAC, MI 49601-2540
(231) 876-3244
Mailing address
820 SHADY LN, TRAVERSE CITY, MI 49686-4344
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801095707
MI
Other
Enumeration date
01/09/2014
Last updated
01/09/2014
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