Individual
BROOK ADIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LSW
Contact information
Practice address
3416 GONI RD BLDG D, CARSON CITY, NV 89706-8008
(775) 687-0555
Mailing address
3416 GONI RD BLDG D, CARSON CITY, NV 89706-8008
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251B00000X
—
NV
Enumeration date
06/22/2017
Last updated
06/22/2017
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