Individual
BROOK THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1101 BROAD ST STE 8, SAINT JOSEPH, MI 49085-2198
(269) 930-6885
Mailing address
1101 BROAD ST STE 8, SAINT JOSEPH, MI 49085-2198
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801102073
MI
Other
Enumeration date
01/07/2018
Last updated
01/07/2018
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