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Individual

GERALD LAMONT BROOKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMSW, CAADC, SAP

Contact information

Practice address
4017 W. MAIN SUITE 100, KALAMAZOO, MI 49006
(269) 290-6754
(269) 593-5920
Mailing address
PO BOX 2047, PORTAGE, MI 49081-2047
(269) 290-6754
(269) 593-5920

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
MI
104100000X
Social Worker
Primary
6801095782
MI

Other

Enumeration date
11/29/2012
Last updated
06/02/2016
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