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Individual

SUSAN BROOKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
144 KAREN DR, MACON, GA 31217-6542
(478) 972-4620
(478) 745-9040
Mailing address
144 KAREN DR, MACON, GA 31217-6542
(478) 972-4620

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
09/05/2019
Last updated
09/05/2019
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