Angela Nicole Broom, L.C.S.W.

NPI #1376814038 in Bellwood, Illinois

Provider Information

NPI Number: 1376814038
Entity Type: Individual
Name: Angela Nicole Broom, L.C.S.W.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: L.C.S.W.
Enumeration Date: Jan 25, 2012
Last Updated: Jan 25, 2012

Practice Location

Address: 552 52ND AVE
City: Bellwood
State: Illinois
ZIP Code: 60104-1761
Phone: (708) 925-2966

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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