KIM RAE BROUHARD

GRANTS PASS, OR
NPI1275657306
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  1485)
Enumeration Date2007-03-16
Last Update Date2007-07-08
Business Address
-- KIM RAE BROUHARD LCSW
1201 NE 7TH ST SUITE C
GRANTS PASS, OR 97526-1451
Phone number: 541-955-2566
Mailing Address
-- KIM RAE BROUHARD LCSW
1448 NW HAWTHORNE AVE
GRANTS PASS, OR 97526-1214
Phone number: 541-218-1421