Individual
BROOKE ELLIS MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11001 HAMMERLY BLVD, HOUSTON, TX 77043-1913
(713) 935-9088
Mailing address
11001 HAMMERLY BLVD, HOUSTON, TX 77043-1913
(713) 935-9088
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
51865
TX
Other
Enumeration date
05/17/2011
Last updated
12/18/2013
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