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Individual

BROOKE A SHERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA., ED., LPCC-S

Contact information

Practice address
6140 S BROADWAY, LORAIN, OH 44053-3821
(440) 233-7232
(440) 204-4315
Mailing address
6140 S BROADWAY, LORAIN, OH 44053-3891
(440) 233-7232
(440) 204-4315

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E.0003921-SUPV
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000375668
ANTHEM PIN NUMBER
OH
01
553309000
MAGELLAN MIS NUMBER
OH
Enumeration date
06/04/2006
Last updated
12/23/2019
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