Individual
IVIE BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2207 E 5TH ST, SUPERIOR, WI 54880-3708
(218) 212-3435
Mailing address
4310 W 4TH ST, DULUTH, MN 55807-1445
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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