Individual
BROOKE WILSON BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 S ALLUMBAUGH WAY, BOISE, ID 83709-5658
(208) 323-8888
Mailing address
101 S ALLUMBAUGH WAY, BOISE, ID 83709-5658
(208) 323-8888
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4961960
ID
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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