Individual
BROOKE KALLENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
140 ROUTE 303, VALLEY COTTAGE, NY 10989-5906
(845) 267-2172
Mailing address
140 ROUTE 303, VALLEY COTTAGE, NY 10989-5906
(845) 267-2172
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/27/2016
Last updated
07/27/2016
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