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1275198822
BROOKE KOONTZ
PORT ORANGE, FL
NPI
1275198822
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-05-08
Last Update Date
2019-05-08
Business Address
Ms. BROOKE KOONTZ MS
3816 CALLIOPE AVE
PORT ORANGE, FL 32129-6024
Phone number: 814-442-8775
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Mailing Address
Ms. BROOKE KOONTZ MS
3816 CALLIOPE AVE
PORT ORANGE, FL 32129-6024
Phone number:
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