Individual
BETH LAUREN BROODO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5402 ARAPAHO RD, DALLAS, TX 75248-6905
(972) 437-9950
(972) 437-1988
Mailing address
5402 ARAPAHO RD, DALLAS, TX 75248-6905
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
62388
LICENSE
TX
Enumeration date
12/15/2006
Last updated
02/24/2020
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