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Individual

MRS. MARTHA JANE BROOKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW MSSW

Contact information

Practice address
333 CAMPBELL DRIVE, SNEEDVILLE, TN 37869
(423) 733-2216
(423) 733-2450
Mailing address
PO BOX 9054, GRAY, TN 37615-9054
(423) 467-3600
(423) 467-3696

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSW1015
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1002526
CIGNA MCC
01
12850
UBH JOHN DEERE
01
132697
VALUEOPTIONS
01
138847
HANCOCK CO ANTHEM PREF
01
3085273
MAGELLAN SUMMIT
01
334969
GROUP VALUEOPTIONS
Enumeration date
09/12/2006
Last updated
07/09/2007
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