BROOKE DIDOMENICO

CHAMPAIGN, IL
NPI1164846812
Former NameBROOKE BEARDSLEY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2014-02-14
Last Update Date2014-02-14
Business Address
-- BROOKE DIDOMENICO
1801 FOX DR
CHAMPAIGN, IL 61820-7236
Phone number: 630-212-8247
Mailing Address
-- BROOKE DIDOMENICO
414 W ELLS AVE
CHAMPAIGN, IL 61820-6428
Phone number: 630-212-8247
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