Individual
CAROL BROERSMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW INTERN
Contact information
Practice address
1528 US HIGHWAY 395 N, SUITE 100, GARDNERVILLE, NV 89410-5265
(775) 782-3671
Mailing address
1528 US HIGHWAY 395 N, SUITE 100, GARDNERVILLE, NV 89410-5265
(775) 782-3671
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6234-S
NV
Other
Enumeration date
09/21/2015
Last updated
09/21/2015
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