| Doctor Name: | BONNIE JEAN BROE |
| NPI Number: | 1144337239 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LICSW |
| License Number: | 105999 |
| Business Practice Address: | 80 Washington St Ste F31 Norwell, MA - 020611741 |
| Business Phone Number: | 7818782822 |
| Business Fax Number: | 7815443996 |
| Mailing Address: | 3 Otis Pl Apt 9, SCITUATE |
| State: | MA |
| Postal Code: | 020661338 |
| Phone Number: | 7815443995 |
| Fax Number: | 7815443996 |
| NPI Enumeration Date: | 08/24/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 105999 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |