Individual
MARY PHYLLIS BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
901 GOODYEAR AVE, GADSDEN, AL 35903-1106
(256) 492-7800
(256) 494-5536
Mailing address
901 GOODYEAR AVE, GADSDEN, AL 35903-1106
(256) 492-7800
(256) 494-5536
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0259C
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6232129
ALL KIDS INSURANCE
AL
Enumeration date
02/27/2007
Last updated
07/08/2007
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