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Individual

LEE MICHELLE BROOKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
907 18TH ST E, SUITE 150, TIFTON, GA 31794-3643
(229) 353-3422
Mailing address
5427 WOODROW LN, HAHIRA, GA 31632-2551
(229) 794-1748

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004972
GA

Other

Enumeration date
10/03/2013
Last updated
11/03/2015
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