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Individual

BROOKE COFFEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
813 ROAD 2900, AZTEC, NM 87410-9760
(484) 364-1503
(484) 364-1503
Mailing address
813 ROAD 2900, AZTEC, NM 87410-9760
(484) 364-1503
(484) 364-1503

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
.0015743
CO

Other

Enumeration date
06/11/2015
Last updated
06/01/2023
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