Individual
HANNA ELISH BROOKSHIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
206 W 5TH ST, METROPOLIS, IL 62960-1810
(628) 524-9368
Mailing address
732 OLD CLAY PIT RD, BOAZ, KY 42027-8521
(270) 994-1335
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/26/2023
Last updated
05/26/2023
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