Individual
LACEY KRISTINE BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
406 E MADISON AVE, FAIRFIELD, IA 52556-3645
(641) 683-5773
(641) 226-5759
Mailing address
PO BOX 458, OTTUMWA, IA 52501-0458
(641) 684-6896
(641) 226-5759
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007699
IA
Other
Enumeration date
10/21/2019
Last updated
05/15/2024
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