Individual
MIKAEL BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1438 PARK AVE, BRIDGEPORT, CT 06604-2512
(203) 583-8181
(203) 583-3850
Mailing address
27 ROCKY HILL TER, TRUMBULL, CT 06611-4845
(203) 233-5753
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6300
CT
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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