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Contact Information

CAROL BROERSMA, MSW, LCSW INTERN
1528 US HIGHWAY 395 N
SUITE 100
GARDNERVILLE, NV89410-5265
 Phone: 775-782-3671
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for CAROL BROERSMA · (Female)

NPI # 1881063832
Status Active
Credentials MSW, LCSW INTERN
Entity Individual
Enumeration date 09/21/2015
Last updated 09/21/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • NV License # 6234-S
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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