Individual
BROOKE ASPEN REISENBUECHLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
4551 CAMINO REAL WAY, FORT MYERS, FL 33966-1026
(239) 275-7151
Mailing address
1015 SIKES BLVD, LAKELAND, FL 33815-4499
(863) 687-8811
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
ISW18957
FL
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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