Individual
SHARON BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2209 POTOMAC DR, COLUMBIA, MO 65203-5886
(573) 445-3205
Mailing address
2209 POTOMAC DR, COLUMBIA, MO 65203-5886
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
098513
MO
Other
Enumeration date
05/13/2013
Last updated
05/13/2013
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