Individual
SHAQUITA BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3487 S LINDEN RD, FLINT, MI 48507-3025
(866) 498-3909
Mailing address
26415 W 7 MILE RD APT 213, REDFORD, MI 48240-1920
(734) 793-7800
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
164W00000X
Licensed Practical Nurse
Primary
4703129104
MI
Other
Enumeration date
09/19/2023
Last updated
10/18/2024
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