Individual
JASON KEVIN BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4299 MACLAREN CT, POWDER SPRINGS, GA 30127-1799
(404) 857-2877
(404) 857-2877
Mailing address
4299 MACLAREN CT, POWDER SPRINGS, GA 30127-1799
(404) 857-2877
(404) 857-2877
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW007859
GA
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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