UNDRA B BROOM

COLUMBUS, OH
NPI1760100457
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2022-08-18
Last Update Date2022-08-18
Business Address
MR. UNDRA B BROOM CDCA, QMHP
3242 E MAIN ST
COLUMBUS, OH 43213-3807
Phone number: 614-500-4150
Mailing Address
MR. UNDRA B BROOM CDCA, QMHP
3242 E MAIN ST
COLUMBUS, OH 43213-3807
Phone number: 614-500-4150
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