Individual
CEDRIC LADARRYL BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1430 OLIVE ST, STE 400, SAINT LOUIS, MO 63103-2303
(314) 452-5964
Mailing address
1430 OLIVE ST, STE 400, SAINT LOUIS, MO 63103-2303
(314) 452-5964
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/27/2021
Last updated
04/27/2021
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