Individual
KIMBERLY NICOLE BROOKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2355 STATE ST STE 101, SALEM, OR 97301-4541
(702) 970-8609
Mailing address
10350 N VANCOUVER WAY # 5201, PORTLAND, OR 97217-7530
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L10346
OR
Other
Enumeration date
08/12/2022
Last updated
08/12/2022
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