Individual
BROOKE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1045 KLOTZ RD, BOWLING GREEN, OH 43402-4820
(419) 352-7588
Mailing address
1045 KLOTZ RD, BOWLING GREEN, OH 43402-4820
(419) 352-7588
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
09/02/2022
Last updated
09/02/2022
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