Individual
BROOKE KESECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 617-5300
Mailing address
1271 SADLER DR APT 2205, SAN MARCOS, TX 78666-3358
(210) 417-6242
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
68003
TX
Other
Enumeration date
10/18/2019
Last updated
10/18/2019
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