Individual
MS. LISA GAYE BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
28491 UTICA RD, ROSEVILLE, MI 48066-2593
(352) 552-5686
Mailing address
28491 UTICA RD, ROSEVILLE, MI 48066-2593
(352) 552-5686
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301011506
MI
Other
Enumeration date
06/29/2006
Last updated
05/26/2021
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