Individual
LORI BROICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
990 W 41ST ST, HIBBING, MN 55746-3045
(218) 256-6109
Mailing address
106 SILVERWOOD AVENUE PO BOX 265, MARBLE, MN 55764
(218) 256-6109
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12325
MN
Other
Enumeration date
06/07/2013
Last updated
06/07/2013
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