Individual
MS. BRYELLE L BROOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PCC-S
Contact information
Practice address
2211 ARBOR BLVD, MORAINE, OH 45439-1521
(937) 222-9481
(937) 222-3710
Mailing address
2211 ARBOR BLVD, MORAINE, OH 45439-1521
(937) 222-9481
(937) 222-3710
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E3113
OH
104100000X
Social Worker
S.0015121
OH
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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