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Individual
MRS. KRISTAL BROOKS
Active
Individual
MRS. KRISTAL BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
0904015909
VA
1041C0700X
Clinical Social Worker
58.013373
CT
Other
Enumeration date
01/17/2022
Last updated
01/04/2024
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