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Individual

JAMES HAROLD BROECKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS, LMFT

Contact information

Practice address
401 STAGELINE RD, SUITE 7, HUDSON, WI 54016-7897
(715) 531-6760
(715) 531-6761
Mailing address
PO BOX 644, HUDSON, WI 54016-0644
(715) 531-6760
(715) 531-6761

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
650-124
WI
106H00000X
Marriage & Family Therapist
913
MN

Other

Enumeration date
11/06/2006
Last updated
07/08/2007
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