Individual
KAYWANA LEE BROOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1007 E NEWPORT PIKE, WILMINGTON, DE 19804-1921
(302) 250-3101
Mailing address
1007 E NEWPORT PIKE, WILMINGTON, DE 19804-1921
(302) 250-3101
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC009250
PA
Other
Enumeration date
03/31/2017
Last updated
03/31/2017
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