Individual
MARY IMANI BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
700 S FAIRFIELD DR, PEACHTREE CITY, GA 30269
(662) 341-2694
Mailing address
700 S FAIRFIELD DR, PEACHTREE CITY, GA 30269-3922
(662) 341-2694
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
14189
FL
1041C0700X
Clinical Social Worker
2144
NH
1041C0700X
Clinical Social Worker
44SC05909900
NJ
1041C0700X
Clinical Social Worker
7400
TN
1041C0700X
Clinical Social Worker
Primary
CSW006414
GA
1041C0700X
Clinical Social Worker
I.1800895-SUPV
OH
Other
Enumeration date
11/29/2017
Last updated
07/22/2020
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