Individual
THERESA L. BROO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
525 LACEY RD, FORKED RIVER, NJ 08731-1543
(609) 276-8626
Mailing address
525 LACEY RD, FORKED RIVER, NJ 08731-1543
(609) 276-8626
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00127200
NJ
Other
Enumeration date
09/13/2007
Last updated
06/09/2022
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