ROOSEVELT BROACH

DALLAS, TX
NPI1083280374
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: TX  79180)
Enumeration Date2021-05-27
Last Update Date2021-05-27
Business Address
ROOSEVELT BROACH
12959 JUPITER RD STE 140
DALLAS, TX 75238-3200
Phone number: 214-221-0132
Mailing Address
ROOSEVELT BROACH
502 POINT ROYAL DR
ROCKWALL, TX 75087-8721
Phone number: 469-688-2803
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