Individual
TIA S BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
2000 GWYNN OAK AVE, BALTIMORE, MD 21207-5261
(443) 272-5431
Mailing address
2000 GWYNN OAK AVE, BALTIMORE, MD 21207-5261
(443) 272-5431
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
20926
—
Other
Enumeration date
05/15/2017
Last updated
08/14/2020
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