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Individual
MS. REBECCA J BROOKS
Active
Individual
MS. REBECCA J BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LCAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
87000645A
IN
1041C0700X
Clinical Social Worker
Primary
34001902A
IN
Other
Enumeration date
12/02/2005
Last updated
04/03/2015
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