Individual
MS. MILLICENT BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
209A SWANTON WAY, DECATUR, GA 30030-3271
(404) 697-5890
Mailing address
1714 BREWER BLVD SW, ATLANTA, GA 30310-4714
(404) 697-5890
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT001092
GA
Other
Enumeration date
04/08/2009
Last updated
01/09/2014
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