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Individual

MRS. KRISTINA MICHELLE BROCKHOUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LCSW

Contact information

Practice address
1752 WESLEY RD, AUBURN, IN 46706-3646
(260) 925-3865
Mailing address
1752 WESLEY RD, P.O. BOX 166, AUBURN, IN 46706-3646
(260) 925-3865

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005382A
IN

Other

Enumeration date
02/04/2015
Last updated
02/04/2015
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