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Individual

MR. RICHARD ALLEN BROOME

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BS LAC

Contact information

Practice address
8202 CLEARVISTA PKWY STE D, INDIANAPOLIS, IN 46256-1400
(317) 623-3007
Mailing address
155 FRANKLIN RD STE 430, BRENTWOOD, TN 37027-1602
(615) 751-0579

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
86000289A
IN

Other

Enumeration date
01/24/2023
Last updated
01/24/2023
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