Individual
BROOKE STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
923 SUNRISE AVE, WEST UNION, OH 45693-1143
(937) 544-5547
Mailing address
923 SUNRISE AVE, WEST UNION, OH 45693-1143
(937) 544-5547
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
183317
OH
171M00000X
Case Manager/Care Coordinator
—
OH
Other
Enumeration date
02/02/2023
Last updated
02/02/2023
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