Individual
ALEXIS BROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
719 LITTLE HAMPTON LN, GOTHA, FL 34734-4713
(205) 789-5756
Mailing address
719 LITTLE HAMPTON LN, GOTHA, FL 34734-4713
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
FL
Other
Enumeration date
02/22/2023
Last updated
02/22/2023
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