Individual
MS. CHERYL ANN BROOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
198 E ALMAR DR, CHICKASHA, OK 73018-7327
(405) 222-5437
Mailing address
816 SOUTH 20TH STREET, CHICKASHA, OK 73018
(405) 320-5584
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
33573
TX
Other
Enumeration date
06/21/2011
Last updated
09/11/2011
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