Individual
KAYLA IRWIN BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
208 D L INGRAM AVE W, CANNON AFB, NM 88103-5103
(575) 784-2778
Mailing address
2108 HUMMINGBIRD RD UNIT 1, PORTALES, NM 88130-7181
(205) 616-2808
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/18/2021
Last updated
06/18/2021
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