Individual
KIA BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
75 CONIFER WAY, SICKLERVILLE, NJ 08081-4638
(856) 493-8172
Mailing address
415 SICKLERVILLE RD, SICKLERVILLE, NJ 08081-8046
(856) 493-8172
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
NJ
Other
Enumeration date
08/22/2021
Last updated
08/22/2021
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