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Individual

RACHEL MARY BROOKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LICDC, MFT, LSW

Contact information

Practice address
3171 BEAVER VU DR STE C, BEAVERCREEK, OH 45434-6368
(937) 426-2113
Mailing address
PO BOX 383, TIPP CITY, OH 45371-0383

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LICDC.021368
OH
104100000X
Social Worker
S.0031722
OH
106H00000X
Marriage & Family Therapist
M.1600005
OH

Other

Enumeration date
12/20/2017
Last updated
12/20/2017
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