Individual
JAMIE BROOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3 CENTRAL PLZ, ROME, GA 30161-3233
(855) 832-6727
Mailing address
334 DOBSON RD NW, SUGAR VALLEY, GA 30746-5426
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/15/2021
Last updated
11/17/2021
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