Individual
MRS. KRISTEN LEIGH BROSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
3000 W ROHMANN AVE, WEST PEORIA, IL 61604-4842
(309) 671-0300
Mailing address
3000 W ROHMANN AVE, WEST PEORIA, IL 61604-4842
(309) 671-0300
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5933-125
WI
Other
Enumeration date
07/18/2017
Last updated
03/11/2019
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