Broock, Charlene E
Broock, Charlene E is an individual health care provider with primary practice located at 1005 21St St Se Ste B, Rio Rancho NM 87124-4030. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Broock, Charlene E can be contacted via phone (781) 454-8015.Contact Information
Primary practice address
1005 21St St Se Ste B
Rio Rancho NM 87124-4030
Phone: (781) 454-8015
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | C-08797 | New Mexico |
Profile Details
| NPI number | 1790731800 |
|---|---|
| LBN Legal business name | Broock, Charlene E |
| Credentials | MSW, LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 26th, 2006 |
| Last updated | Sep 6th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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