Individual
DONNA J. BROOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1940 HARRISON AVE, PANAMA CITY, FL 32405-4542
(850) 785-5351
Mailing address
648 FLORIDA AVE, PANAMA CITY, FL 32401-6311
(850) 769-6001
(850) 769-6003
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW9636
FL
Other
Enumeration date
11/18/2009
Last updated
11/18/2009
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