Individual
MR. JASON BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17390 W 8 MILE RD, SOUTHFIELD, MI 48075-4301
(313) 978-7196
Mailing address
17135 LINCOLN DR, SOUTHFIELD, MI 48076-7227
(313) 939-1098
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/29/2024
Last updated
08/14/2025
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