1174853220
Everything you always wanted to know about
BROCKMANN
KEITH
SCOTT
LMHC
but were afraid to ask.
BROCKMANN
KEITH
SCOTT
LMHC
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Provider Last Name |
Provider Middle Name |
Provider First Name |
Provider Credential |
BROCKMANN |
KEITH |
SCOTT |
LMHC |
- Gender:
- Male
- Enumeration date:
- 2010-01-12
- Last update date:
- 2010-01-12
- Current as of:
- Is sole proprietor?:
- No
- Is organization subpart?:
- No
Identifiers
identifier |
description |
issuer |
state |
|
|
|
|
Taxonomies
Taxonomy |
State |
License Number |
Primary? |
101Y00000X Counselor
|
IA |
00438 |
Y |
Phone Numbers
Type |
Number |
Mailing Address Telephone Number |
5159934535 |
Practice Location Address Telephone Number |
5159934535 |
Mailing Address Fax Number |
5159933845 |
Practice Location Address Fax Number |
5159933845 |
Addresses
Type |
Address |
City |
State |
Postal |
Country |
Mailing Address |
2111 W. GREENE ST. |
ADEL |
IA |
50003 |
IA |
Practice Location Address |
2111 W. GREENE ST. |
ADEL |
IA |
50003 |
IA |
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