Individual
JESSICA BROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31955 STATE ROUTE 20, OAK HARBOR, WA 98277-5211
(360) 551-8718
Mailing address
31955 STATE ROUTE 20, OAK HARBOR, WA 98277-5211
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/16/2014
Last updated
11/16/2014
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