Individual
GLENDA DIANNE BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
916 BAMBI DR, DESTIN, FL 32541-1833
(850) 685-0668
Mailing address
9420 CARLISLE RD, DILLSBURG, PA 17019-9639
(717) 608-0678
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PCO11686
PA
Other
Enumeration date
07/09/2021
Last updated
07/09/2021
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