Individual
ELICIA N BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LSW
Contact information
Practice address
2845 BELL ST, ZANESVILLE, OH 43701-1720
(740) 454-9766
(740) 588-6452
Mailing address
7700 MCGLADE SCHOOL RD, DRESDEN, OH 43821-9744
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
S.1901206-TRNE
OH
104100000X
Social Worker
Primary
S.2106293
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0389660
—
OH
Enumeration date
02/05/2020
Last updated
07/01/2021
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