Individual
JUNE J BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D
Contact information
Practice address
COLONIAL MANOR NURSING HOME, 2035 GRANBURY STREET, CLEBURNE, TX 76033
(817) 654-9134
Mailing address
PO BOX 100039, FORT WORTH, TX 76185-0039
(817) 546-8212
(817) 546-8215
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2-1049
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122328102
—
TX
Enumeration date
10/31/2005
Last updated
07/31/2008
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