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1770798498
CHARLES DENNIS MCBROOM
BARTLESVILLE, OK
NPI
1770798498
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-05-14
Last Update Date
2007-07-08
Business Address
-- CHARLES DENNIS MCBROOM MS,LADC
622 SE FRANK PHILLIPS BLVD
BARTLESVILLE, OK 74003-3917
Phone number: 918-336-4646
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Mailing Address
-- CHARLES DENNIS MCBROOM MS,LADC
3607 HARVEY RD
BARTLESVILLE, OK 74006-6610
Phone number: 918-333-7259
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