Mr. Wilfred Carnell Broom
Mr. Wilfred Carnell Broom is a Case Manager/Care Coordinator in Sacramento, California. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
- Specialties on file
- 3
Practice location Address checks out
7171 Bowling Dr Ste 300Sacramento, CA 95823
Phone: (916) 394-9195
Fax: (916) 392-2827
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Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|---|
| Case Manager/Care Coordinator | Taxonomy 171M00000X |
| Peer Specialist | Taxonomy 175T00000X |
Record details
| NPI number | 1750896288 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 6, 2017 |
| Last updated in NPPES | January 4, 2021 |
| Certification date | January 4, 2021 |
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