Individual
HEATHER AMANDA ROSE BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
7147 133RD ST, MILACA, MN 56353-3771
(763) 245-4390
Mailing address
7147 133RD ST, MILACA, MN 56353-3771
(763) 245-4390
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
25376
MN
Other
Enumeration date
11/16/2021
Last updated
11/16/2021
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