Individual
MRS. CORY ANN BROSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
12 AMITY ST, SPENCERPORT, NY 14559-1350
(585) 542-8897
Mailing address
36 OBRIEN GLENWAY, OSWEGO, NY 13126-9261
(315) 591-6273
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
009653
NY
Other
Enumeration date
07/11/2019
Last updated
07/11/2019
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