Individual
BROOKE LYNN GLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
117 W MAIN ST STE 107, LANCASTER, OH 43130-3799
(740) 883-9300
Mailing address
PO BOX 396, SPRINGBORO, OH 45066-0396
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN.453553
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/24/2023
Last updated
04/10/2023
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