Individual
MARK S BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
445 CLEVELAND AVE SE, ATLANTA, GA 30354-2200
(678) 949-9118
(678) 949-9419
Mailing address
445 CLEVELAND AVE SE, ATLANTA, GA 30354-2200
(678) 949-9118
(678) 949-9419
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CSW001791
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
GA
Enumeration date
10/31/2012
Last updated
10/31/2012
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