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Individual

MRS. ELIZABETH BROKAMP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A., ED.M, LPC

Contact information

Practice address
801 N PITT ST APT 113, ALEXANDRIA, VA 22314-1782
(703) 868-8609
Mailing address
801 NORTH PITT STREET, #113, ALEXANDRIA, VA 22314
(703) 868-8609

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701003683
VA

Other

Enumeration date
04/26/2011
Last updated
04/26/2011
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