MIA ELISE BROBERG

SALEM, OR
NPI1720509813
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2017-06-29
Last Update Date2017-06-29
Business Address
MIA ELISE BROBERG
1595 COTTAGE ST NE
SALEM, OR 97301
Phone number: 503-897-1289
Mailing Address
MIA ELISE BROBERG
1715 CHEMAWA RD. NE
KEIZER, OR 97303
Phone number: 503-383-8061
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