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Individual

ERICA A BROOKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1321 FIRST ST W, AHOSKIE, NC 27910-8842
(252) 209-8932
Mailing address
1321 FIRST ST W, AHOSKIE, NC 27910-8842
(252) 209-8932

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
2526
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
138A2
BCBSNC
NC
05
6107194
NC
Enumeration date
12/21/2010
Last updated
12/21/2010
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