Individual
KENICE BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2506 AIRY HILL CIR UNIT B, CROFTON, MD 21114-2729
(443) 968-4780
Mailing address
2506 AIRY HILL CIR UNIT B, CROFTON, MD 21114-2729
(443) 968-4780
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
30365
MD
1041S0200X
School Social Worker
Primary
LG200002689
DC
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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