Individual
MARCI BROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
29821 COLVIN STREET, GOLD BEACH, OR 97444
(541) 373-8001
(541) 425-5330
Mailing address
PO BOX 810, GOLD BEACH, OR 97444-0810
(541) 373-8001
(541) 425-5330
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/24/2017
Last updated
03/24/2017
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