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Individual

BRIAN BROTZMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA, TLMHC

Contact information

Practice address
2515 18TH ST SW, CEDAR RAPIDS, IA 52404-3303
(563) 581-7979
Mailing address
1967 S RIDGE DR, CORALVILLE, IA 52241-1058
(563) 581-7979

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
073380
IA

Other

Enumeration date
09/25/2015
Last updated
09/25/2015
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