Individual
RAQUEL MONE BROOKTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
56276 ALBERT ST., SLIDELL, LA 70461
(985) 288-9737
Mailing address
56276 ALBERT ST, SLIDELL, LA 70461-4620
(985) 288-9737
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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