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Individual

MS. BROOKE MICHELLE UDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SOCIAL WORKER

Contact information

Practice address
1901 VETERANS MEMORIAL DR # 122, TEMPLE, TX 76504-7451
(254) 421-8168
(254) 953-7173
Mailing address
1901 VETERANS MEMORIAL DR # 122, TEMPLE, TX 76504-7451
(254) 421-8168
(254) 953-7173

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
51963
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51963
TEXAS STATE BOARD OF SOCIAL WORK EXAMINERS
TX
Enumeration date
03/24/2014
Last updated
03/24/2014
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