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1790731800
CHARLENE E BROOCK
RIO RANCHO, NM
NPI
1790731800
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: NM C-08797)
Enumeration Date
2006-05-26
Last Update Date
2016-09-06
Business Address
Ms. CHARLENE E BROOCK MSW, LICSW
1005 21ST ST SE STE B
RIO RANCHO, NM 87124-4030
Phone number: 781-454-8015
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Mailing Address
Ms. CHARLENE E BROOCK MSW, LICSW
1005 21ST ST SE STE B
RIO RANCHO, NM 87124-4030
Phone number: 781-454-8015
Copy
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