KEITH BROUCA

ROCHELLE PARK, NJ
NPI1285235101
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NJ  37AC00444000)
Enumeration Date2020-11-06
Last Update Date2020-11-06
Business Address
KEITH BROUCA
350 W PASSAIC ST STE 4
ROCHELLE PARK, NJ 07662-3000
Phone number: 201-293-0115
Mailing Address
KEITH BROUCA
456 RIVER RD APT A
NUTLEY, NJ 07110-3642
Phone number:
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