Individual
MICHELE MYRUS BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12279 W GRIER RD, MARANA, AZ 85653-9606
(520) 682-4782
Mailing address
4156 E CALLE MARFIL, TUCSON, AZ 85712-6409
(520) 682-4782
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1102846
AZ
Other
Enumeration date
10/05/2007
Last updated
10/05/2007
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