Individual
MR. MARK JOSEPH BROOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
21 LAUREL HILL DR, CHERRY HILL, NJ 08003-2658
(609) 304-2286
Mailing address
21 LAUREL HILL DR, CHERRY HILL, NJ 08003-2658
(609) 304-2286
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00148400
NJ
Other
Enumeration date
11/09/2011
Last updated
11/09/2011
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