| Doctor Name: | MS. LILLIAN M MCBROOM |
| NPI Number: | 1033149497 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMSW |
| License Number: | 6801065342 |
| Business Practice Address: | 517 W Easterday Ave Sault Sainte Marie, MI - 497831623 |
| Business Phone Number: | 9066351508 |
| Business Fax Number: | 9066357369 |
| Mailing Address: | 517 W Easterday Ave, SAULT SAINTE MARIE |
| State: | MI |
| Postal Code: | 497831623 |
| Phone Number: | 9066351508 |
| Fax Number: | 9066357369 |
| NPI Enumeration Date: | 07/03/2006 |
| NPI Last Update Date: | 05/12/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 6801065342 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |