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Individual
TERRI LYNN BROOKS
Active
Individual
TERRI LYNN BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA173868
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA173868
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014A0400X
—
OH
05
—
CDCA173868
—
OH
Enumeration date
08/31/2022
Last updated
08/31/2022
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