Individual
MR. BROOKS BENJAMIN ROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1420 STONEHOLLOW DR STE C, KINGWOOD, TX 77339-2494
(281) 812-7529
(281) 812-3777
Mailing address
1420 STONEHOLLOW DR STE C, KINGWOOD, TX 77339-2494
(281) 812-7529
(281) 812-3777
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
39450
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TXB102955
TRAILBLAZER
TX
Enumeration date
08/31/2006
Last updated
04/18/2012
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