Carol Broersma, MSW, LCSW INTERN
NPI #1881063832 in Gardnerville, Nevada
Provider Information
- NPI Number
- 1881063832
- Entity Type
- Individual
- Name
- Carol Broersma, MSW, LCSW INTERN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- MSW, LCSW INTERN
- Enumeration Date
- Sep 21, 2015
- Last Updated
- Sep 21, 2015
Practice Location
- Address
- 1528 US HIGHWAY 395 N
- Address 2
- SUITE 100
- City
- Gardnerville
- State
- Nevada
- ZIP Code
- 89410-5265
- Phone
- (775) 782-3671
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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